| Haley Nicole Branum, DPT | |
|
901 N Santa Fe Ave, Fountain, CO 80817-1738 | |
| (719) 587-0822 | |
| Not Available |
| Full Name | Haley Nicole Branum |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 901 N Santa Fe Ave, Fountain, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932963105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0019544 (Texas) | Secondary |
| 225100000X | Physical Therapist | PTL.0019544 (Colorado) | Primary |
| Provider Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Provider Name | Colorado Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891461125 PECOS PAC ID: 7517363617 Enrollment ID: O20210914002694 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Nicole Branum, DPT 810 Endeavor Way, Colorado Springs, CO 80809 Ph: (361) 935-8820 | Haley Nicole Branum, DPT 901 N Santa Fe Ave, Fountain, CO 80817-1738 Ph: (719) 587-0822 |
Dr. Kevin Andrew Gonzalez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6980 Mesa Ridge Pkwy Ste 100, Fountain, CO 80817 Phone: 719-391-0044 | |
Ashley Collins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5160 Fontaine Blvd, Fountain, CO 80817 Phone: 719-358-8885 Fax: 719-465-3096 | |
Dr. Catherine Ann Mrochinski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6980 Mesa Ridge Pkwy, Fountain, CO 80817 Phone: 414-702-9218 | |
Elissa Marie Payonk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Santa Fe Ave, Fountain, CO 80817 Phone: 719-597-0822 | |
Dr. Nicole Losse, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 N Santa Fe Ave, Fountain, CO 80817 Phone: 719-597-0822 | |
Dr. Sarah Fogle, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6980 Mesa Ridge Pkwy, Fountain, CO 80817 Phone: 719-391-0044 | |
Tyler James Kolfrat, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6825 Mesa Ridge Pkwy Ste 150, Fountain, CO 80817 Phone: 719-623-1110 Fax: 719-623-1144 |