Katieanne Gavin (NPI# 1861556417, PAC ID# 4082616891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1861556417 |
| PAC ID by PECOS | 4082616891 |
| Professional Enrollment ID | I20150807013322 |
| Full Name | Katieanne Gavin |
| Organization Legal Name | NORTH BOULDER PHYSICAL THERAPY SPORTS REHABILITATION LLC |
| Address |
3000 Ctr Green Dr Suite 110 Boulder CO 80301-2364 |
| Phone Number | 3034139903 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3971586611 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2750 Broadway St, Boulder, CO 80304-3573 | 3034403034 | NORTH BOULDER PHYSICAL THERAPY SPORTS REHABILITATION LLC |
| 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 | 3034139903 | NORTH BOULDER PHYSICAL THERAPY SPORTS REHABILITATION LLC |
| 3000 Ctr Green Dr, Boulder, CO 80301-2364 | 3034139903 | NORTH BOULDER PHYSICAL THERAPY SPORTS REHABILITATION LLC |
| Organization Legal Name | NORTH BOULDER PHYSICAL THERAPY SPORTS REHABILITATION LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariah Schultz | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 2861 W 120th Ave, Suite 120, Westminster, CO 80234-2985 |
| Meredith E Hoerske | Occupational Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Kelly Lovely | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 80 Health Park Dr, Suite 200, Louisville, CO 80027-4644 |
| Christine Shaw | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Kimberlee S Axelrod | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Elizabeth C White | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Angela Renee Cook | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Sabina Rose Dahl Busby | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Mary Kaye Pierce | Occupational Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Denise Baugh | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Street Address |
3000 CTR GREEN DR SUITE 110 |
| City | BOULDER |
| State | CO |
| Zip | 80301-2364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith E Hoerske | Occupational Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Lynn K Bunin | Chiropractic | 3000 Ctr Green Dr, Suite 130, Boulder, CO 80301-2364 | |
| Christine Shaw | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Kimberlee S Axelrod | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Elizabeth C White | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Angela Renee Cook | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Joanne Halbrecht | Orthopedic Surgery | 3000 Ctr Green Dr, Suite 150, Boulder, CO 80301-2364 | |
| Sabina Rose Dahl Busby | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Mary Kaye Pierce | Occupational Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Denise Baugh | Physical Therapy | North Boulder Physical Therapy Sports Rehabilitation LLC | 3000 Ctr Green Dr, Suite 110, Boulder, CO 80301-2364 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian T Shea | Family Medicine | Sussex, Suite 1, Boulder, CO 80301 | |
| Terri D Oneby | Optometry | 1645 28th St, Boulder, CO 80301-1001 | |
| Eric P Dupuis | Optometry | Dupuis Optometry, Inc. | 1836 30th St, Boulder, CO 80301-1016 |
| Dennis P Dupuis | Optometry | Dupuis Optometry, Inc. | 1836 30th St, Boulder, CO 80301-1016 |
| Hilary B Booco | Qualified Speech Language Pathologist | Boulder Cognitive and Linguistic Center Inc | 1790 30th St, Suite 120, Boulder, CO 80301-1022 |
| Katherine L Smulligan | Physical Therapy | Boulder Cognitive and Linguistic Center Inc | 1790 30th St, Suite 120, Boulder, CO 80301-1022 |
| Nancy B Lasater | Clinical Social Worker | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | |
| John H Bannwarth | Optometry | Beyer Laser Center | 1810 30th St, Suite B, Boulder, CO 80301-1025 |
| Craig F Beyer | Ophthalmology | Beyer Laser Center | 1810 30th St, Suite B, Boulder, CO 80301-1025 |
| Gail R Marcus | Clinical Social Worker | 1800 30th St, Suite 217, Boulder, CO 80301-1026 | |
| Find all physicians in zip 80301 | |||
| City | BOULDER |
| Zip Code | 80301 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BOULDER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Katieanne Gavin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.