Van Pavlik, PT
Physical Therapist in Broomfield, CO. Individual provider (NPI-1).
NPI number1477950855
StatusActive
Last updated in NPPESDec 1, 2014
Details
- NPI
- 1477950855
- Entity type
- Individual (NPI-1)
- Name
- Van Pavlik
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2014
- Last updated
- Dec 1, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE 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 |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0012563 | CO | Yes |
Practice location
16551 Weston WayBroomfield, CO 80023-4660
Phone 713-435-9548
Mailing address
16551 Weston WayBroomfield, CO 80023-4660
Phone 713-435-9548
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 107 Physical Therapist providers in Broomfield · All 1,961 providers in Broomfield
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