Active NPI
Summit Orthopedics PLLC
- Physical Therapy Clinic/Center
- Breckenridge, CO
National Provider Identifier
1043832702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SUMMIT ORTHOPEDICS PLLC
- Practice address
- 555 S Park Avenue
Breckenridge, CO 80424 - Phone
- (970) 262-7420
- NPI assigned
- May 15, 2020
- Organization subpart
- Yes
- Parent organization
- PANORAMA ORTHOPEDICS & SPINE CENTER, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark J Conklin
- Title
- President
- Phone
- (303) 274-7321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
555 S Park Avenue
Breckenridge, CO 80424
Mailing address
660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Other names 1
- Summit Orthopedics Physical Therapy
National Provider Directory
National Provider Directory- Part of
- Panorama Ortho and Spine PC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589500800000",
"number": "1043832702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 GOLDEN RIDGE RD STE 250",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804019541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S PARK AVENUE",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "970-262-7420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT ORTHOPEDICS PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A",
"authorized_official_last_name": "CONKLIN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-274-7321"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Orthopedics Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Breckenridge, CO
- Jill Annette Strandquist, OTR
- Summit Allied Behavioral Services, LLC
- Summit Community Care Clinic, Inc.
- Summit Community Care Clinic, Inc.
- Summit Community Care Clinic, Inc.
- Summit Orthopedics, PLLC
- Summit Speech Services, LLC
- Swan Mountain Women'S Center, PC
- Kelsey Swanson, BCBA
- Ten Mile Chiropractic, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.