Poudre Valley Medical Group, LLC

NPI #1013501717 in Windsor, Colorado

Provider Information

NPI Number: 1013501717
Entity Type: Organization
Organization Name: Poudre Valley Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: POUDRE VALLEY MEDICAL GROUP, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 23, 2021
Last Updated: Sep 2, 2025

Practice Location

Address: 1455 MAIN ST STE 160
City: Windsor
State: Colorado
ZIP Code: 80550-5561
Phone: (970) 674-6514

Authorized Official

Name: JANA CONROY, MBA, RHIA
Title: DIRECTOR OF CREDENTIALING
Phone: (970) 674-6514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X
Physical Therapist	225100000X	Primary

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