Provider Demographics
NPI:1194063412
Name:SILVER, ROBYN BLACKSTONE (PT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:BLACKSTONE
Last Name:SILVER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9480 BRIAR VILLAGE PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7922
Mailing Address - Country:US
Mailing Address - Phone:719-266-1788
Mailing Address - Fax:719-264-7706
Practice Address - Street 1:9480 BRIAR VILLAGE PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7922
Practice Address - Country:US
Practice Address - Phone:719-266-1788
Practice Address - Fax:719-264-7706
Is Sole Proprietor?:No
Enumeration Date:2013-01-21
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0011956225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist