Provider Demographics
NPI:1972671915
Name:GETWELL PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:GETWELL PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-223-2484
Mailing Address - Street 1:4532 MCMURRY AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3400
Mailing Address - Country:US
Mailing Address - Phone:970-223-2484
Mailing Address - Fax:970-223-6156
Practice Address - Street 1:4532 MCMURRY AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3400
Practice Address - Country:US
Practice Address - Phone:970-223-2484
Practice Address - Fax:970-223-6156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800676Medicare ID - Type Unspecified