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PHYSIOM, LLC
NPI 1376789552
Specialist in Fort Collins, CO

Active since December 18, 2008
1300 OAKRIDGE DR, 130, FORT COLLINS, CO 80525(970) 377-9555(970) 377-9559 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physiom, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSIOM, LLC (NPI 1376789552) is a healthcare organization registered as a specialist in Fort Collins, Colorado and active in the NPI registry since December 2008. The organization lists Shandel Schroder, Billing Agent, as its authorized official.

NPPES Registry Identity

NPI1376789552
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHYSIOM, LLC
Location Address1300 OAKRIDGE DR, 130Fort Collins, CO 80525-5564
Mailing AddressPhysiom Llc Dept 2089Denver, CO 80291-0001 · (303) 922-4636 · Fax (303) 922-4640
Phone(970) 377-9555
Fax(970) 377-9559
Organization SubpartNo
Authorized OfficialShandel SchroderBilling Agent · (303) 922-4636
Enumeration DateDecember 18, 2008
✔ NPI 1376789552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CO · 31928
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1300 OAKRIDGE DR, Fort Collins, CO 80525
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES TRITCHLER IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
JOSHUA HAUMSCHILD IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, STE. 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
DALLAS DEOGBURN IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
RUSSELL PIERCE IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
KERRY CULTICE
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
MARINA MOUL CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
STEVEN ASHLEY IOMT
Specialist/Technologist, Other (Electroneurodiagnostic)
1300 OAKRIDGE DR, SUITE 130
FORT COLLINS, CO 80525
Larimer County (877) 377-9555
BRUCE A. LOCKWOOD M.D.
Physical Medicine & Rehabilitation
1300 OAKRIDGE DR, SUITE 130
FT COLLINS, CO 80525
Larimer County (970) 377-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physiom, LLC's NPI number?

The NPI number for Physiom, LLC is 1376789552. It was assigned to this organization in the NPPES registry on December 18, 2008.

Where is Physiom, LLC located?

Physiom, LLC is located at 1300 Oakridge Dr 130, Fort Collins, CO 80525. The listed phone number is (970) 377-9555.

What is Physiom, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Physiom, LLC was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.