Physiom, LLC
Specialist in Fort Collins, CO. Organization (NPI-2).
NPI number1376789552
StatusActive
Last updated in NPPESDec 18, 2008
Details
- NPI
- 1376789552
- Entity type
- Organization (NPI-2)
- Legal business name
- Physiom, LLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2008
- Last updated
- Dec 18, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 |
|---|---|---|---|---|
| 174400000X | Specialist | 31928 | CO | Yes |
Practice location
1300 Oakridge Dr130
Fort Collins, CO 80525-5564
Phone 970-377-9555 · Fax 970-377-9559
Mailing address
Physiom LLC Dept 2089Denver, CO 80291-0001
Phone 303-922-4636 · Fax 303-922-4640
Authorized official
Shandel Schroder
Billing Agent
3039224636
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