Pro Sports Therapy, Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Wellington, Colorado. Their current practice location is
9062 W 1st St Unit 5, Wellington, Colorado. You can reach out to their office (for appointments etc.) via phone at
(970) 699-2260.
Pro Sports Therapy, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pro Sports Therapy, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1649797747.
Healthcare Provider's Profile
| Full Name | Pro Sports Therapy, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 9062 W 1st St Unit 5, Wellington, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649797747
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 06/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608121942
- Enrollment ID: O20180611000361
Medical Identifiers
Medical identifiers for Pro Sports Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649797747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pro Sports Therapy, Llc acts as a billing entity for following providers:
| Provider Name | Kenneth G. Abbott |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1609028844
PECOS PAC ID: 6800955873
Enrollment ID: I20180816001945 |
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| Provider Name | Joshua K Artery |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1699151779
PECOS PAC ID: 8527365535
Enrollment ID: I20210427000402 |
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| Provider Name | Hannah Elizabeth Gallagher |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1649854795
PECOS PAC ID: 9133529332
Enrollment ID: I20210609002354 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pro Sports Therapy, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pro Sports Therapy, Llc
9062 W 1st St Unit 5,
Wellington, CO 80549-2388
Ph: (970) 699-2260 | Pro Sports Therapy, Llc
9062 W 1st St Unit 5,
Wellington, CO 80549-2388
Ph: (970) 699-2260 |
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