Provider Demographics
NPI:1760556559
Name:FULL CIRCLE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:FULL CIRCLE PHYSICAL THERAPY, INC.
Other - Org Name:FULL CIRCLE PT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:F
Authorized Official - Last Name:ARMELINO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-936-0900
Mailing Address - Street 1:10511 W 22ND PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-1351
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1880 S PIERCE ST STE 14
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-7143
Practice Address - Country:US
Practice Address - Phone:303-936-0900
Practice Address - Fax:303-936-0132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty