Physiomed LLC
General Practice in Englewood, CO. Organization (NPI-2).
NPI number1366801656
StatusActive
Last updated in NPPESFeb 16, 2016
Details
- NPI
- 1366801656
- Entity type
- Organization (NPI-2)
- Legal business name
- Physiomed LLC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2016
- Last updated
- Feb 16, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 2251S0007X | Physical Therapist, Sports | – | – |
Other names
- Physical Dimensions Ihg (Doing Business As)
Practice location
88 Inverness Cir EA105
Englewood, CO 80112-5304
Phone 303-925-1050
Mailing address
88 Inverness Cir EA105
Englewood, CO 80112-5304
Phone 303-925-1050
Authorized official
Tyler Corbin Fowler
Member
3039251050
Is something wrong?
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