Proactive Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11278 Issued in CO

Legal business name

PROACTIVE PHYSICAL THERAPY LLC

Practice address

9320 Grand Cordera Pkwy
Suite 125
Colorado Springs, CO 80924-7003

Phone

(719) 535-2757

Fax

(719) 535-2767

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Allison Jane Rector, PTNPI 1407890379

Title

Owner

Phone

(719) 535-2757

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Monument2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Proactive Physical Therapy LLC

  • Physical Therapist
  • Monument, CO
  • NPI 1326655101
  NPD tax ID

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

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.

• Allison Jane Rector, PT

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1407890379
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Adams, PT

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1184255028

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Shannon Megan Bulmer, PT, DPT

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1093232829

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1063454874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PKWY",
            "address_2": "SUITE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247003",
            "telephone_number": "719-535-2757",
            "fax_number": "719-535-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PKWY",
            "address_2": "SUITE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247003",
            "telephone_number": "719-535-2757",
            "fax_number": "719-535-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "RECTOR",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-535-2757",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11278",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "5635",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "13537",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12134040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PRN Medical Staffing
• PRN Neuromonitoring NJ PC
• PRN Pro, PC
• PRN Read, LLC
• PRN Read, P.C.
• Proactive Provider Management, LLC (ProActive Therapeutic Alliance)
• Proactive Solutions,Inc.
• Travis John Probst, DDS
• Procare DME Consulting LLC
• Procare, LLC

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.