Provider Demographics
NPI:1801011515
Name:MCDOWELL, PHILICIA D (PT, DPT)
Entity Type:Individual
Prefix:
First Name:PHILICIA
Middle Name:D
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:PHILICIA
Other - Middle Name:D
Other - Last Name:MOJICA UMANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8788 CHASE DR APT 19
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-1012
Mailing Address - Country:US
Mailing Address - Phone:720-548-8470
Mailing Address - Fax:
Practice Address - Street 1:8788 CHASE DR APT 19
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-1012
Practice Address - Country:US
Practice Address - Phone:720-548-8470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO76132251P0200X
TX11965792251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00523771Medicaid