Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Physiom, LLC

Organization Specialist · NPI 1376789552

Physiom, LLC provides Specialist services in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Oakridge Dr 130
Fort Collins, CO 80525-5564 Not confirmed with CMS for 17 years — call before visiting
Phone: (970) 377-9555
Fax: (970) 377-9559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 31928 (CO)

Record details

NPI number1376789552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shandel Schroder — Billing Agent · (303) 922-4636
NPI enumeratedDecember 18, 2008
Last updated in NPPESDecember 18, 2008
Mailing addressPhysiom Llc Dept 2089, Denver, CO 80291-0001

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