Organization Active NPI

Relieva

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1083609234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2335 Issued in CO
Legal business name
RELIEVA
Practice address
4025 Automation Way
B-1
Fort Collins, CO 80525-3446
Phone
(970) 472-1072
Fax
(970) 472-1071
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dennis J Hazlett
Title
President
Phone
(970) 472-1072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2335 CO Primary

Addresses

Primary practice location

4025 Automation Way
B-1
Fort Collins, CO 80525-3446

Mailing address

4025 Automation Way
B-1
Fort Collins, CO 80525-3446
Phone (970) 472-1072

National Provider Directory

National Provider Directory

Locations

4025 Automation Way
Unit B1
Fort Collins, CO 80525
Phone (970) 472-1072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083609234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 AUTOMATION WAY",
            "address_2": "B-1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253446",
            "telephone_number": "970-472-1072",
            "fax_number": "970-472-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 AUTOMATION WAY",
            "address_2": "B-1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253446",
            "telephone_number": "970-472-1072",
            "fax_number": "970-472-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZLETT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-472-1072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.