NPIMap

Organization Active NPI

The Rehab and Fitness Joint, Inc.

Doing business as Fyzical Therapy and Balance Centers

  • Physical Therapist
  • Pagosa Springs, CO
National Provider Identifier
1013649912
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE REHAB AND FITNESS JOINT, INC.
Doing business as
Fyzical Therapy and Balance Centers
Practice address
2839 Cornerstone Dr Ste 3
Pagosa Springs, CO 81147-8266
Phone
(303) 880-8366
NPI assigned
Jun 29, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tressie M McMichael
Title
Owner/Office Manager
Phone
(303) 880-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2839 Cornerstone Dr Ste 3
Pagosa Springs, CO 81147-8266

Mailing address

2839 Cornerstone Dr Ste 3
Pagosa Springs, CO 81147-8266
Phone (303) 880-8366

Other names 1

  • FYZICAL THERAPY AND BALANCE CENTERS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230207001775 CO Part B Supplier - Clinic/Group Practice 7214309962 Receives reassigned benefits from 3 practitioners
Practice locations: Lake City, CO; Pagosa Springs, CO

National Provider Directory

National Provider Directory

Locations

2839 Cornerstone Dr
Ste 3
Pagosa Springs, CO 81147
Phone (303) 880-8366

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1013649912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 CORNERSTONE DR STE 3",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478266",
            "telephone_number": "303-880-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 CORNERSTONE DR STE 3",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478266",
            "telephone_number": "303-880-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHAB AND FITNESS JOINT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "TRESSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "303-880-8366"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL THERAPY AND BALANCE CENTERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FYZICAL THERAPY AND BALANCE CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.