Provider Demographics
NPI:1013029701
Name:PRZYBYL, ANNE (PT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:PRZYBYL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 S QUEBEC ST
Mailing Address - Street 2:#100
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2003
Mailing Address - Country:US
Mailing Address - Phone:303-694-9193
Mailing Address - Fax:303-779-0566
Practice Address - Street 1:5801 S QUEBEC ST
Practice Address - Street 2:#100
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2003
Practice Address - Country:US
Practice Address - Phone:303-694-9193
Practice Address - Fax:303-779-0566
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA210129OtherLABOR & INDUSTRIES
WA8454985Medicaid
WA8454985Medicaid