Provider Demographics
NPI:1033167655
Name:APPLEBEE, MICHAEL W (PT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:W
Last Name:APPLEBEE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 CHAPEL HILLS DR STE 145
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1024
Mailing Address - Country:US
Mailing Address - Phone:719-434-7340
Mailing Address - Fax:719-426-9857
Practice Address - Street 1:595 CHAPEL HILLS DR STE 145
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1024
Practice Address - Country:US
Practice Address - Phone:719-434-7340
Practice Address - Fax:719-426-9857
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO60312251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
804235Medicare ID - Type Unspecified
Q64260Medicare UPIN