Provider Demographics
NPI:1922241322
Name:BARLOW, SCOTT DOUGLAS (MPT)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:DOUGLAS
Last Name:BARLOW
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 DACORO LN STE 130
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-2508
Mailing Address - Country:US
Mailing Address - Phone:303-870-8242
Mailing Address - Fax:303-997-2145
Practice Address - Street 1:3740 DACORO LN
Practice Address - Street 2:#105
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-2503
Practice Address - Country:US
Practice Address - Phone:303-870-8242
Practice Address - Fax:303-997-2145
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35383225100000X
CO10543225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA102442Medicare UPIN