NPI 1154331551 · Physical Therapist in Private Practice · Anthem
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
PARKER, 80134
Freshness: Unknown
Network Status
Listed with 2 carriers
DORA License
No license data
Medicare
Non-Medicare specialty
37 beneficiaries
$21,814.23 total payment
Specialty: Physical Therapist in Private Practice
Care Compare
Address mismatch with NPPES
PECOS Enrollment
Medicare enrolled
Active NPI with specialty classification
No DORA license data found
Active Medicare billing confirmed
Single address source (NPPES)
Limited carrier network presence
2 networks across 2 carriers
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.