NPIMap

Organization Active NPI

Finishline Physical Therapy & Sports Rehab, LLC

Doing business as FinishLine Rehab

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1083905624
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10170 Issued in CO
Legal business name
FINISHLINE PHYSICAL THERAPY & SPORTS REHAB, LLC
Doing business as
FinishLine Rehab
Practice address
2030 E County Line Rd Unit M
Highlands Ranch, CO 80126-2439
Phone
(303) 997-7743
Fax
(303) 997-7885
NPI assigned
May 1, 2011
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Michael K Brock, DPTNPI 1740452804
Title
Manager
Phone
(303) 997-7743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10170 CO Primary

Addresses

Primary practice location

2030 E County Line Rd Unit M
Highlands Ranch, CO 80126-2439

Mailing address

2030 E County Line Rd Unit M
Highlands Ranch, CO 80126-2439
Phone (303) 997-7743

Other identifiers 1

IdentifierTypeStateIssuer
09434356MedicaidCO

Other names 1

  • FinishLine Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

2030 E County Line Rd
Unit M
Highlands Ranch, CO 80126
Phone (303) 997-7743

Practitioners & affiliated clinicians

Practitioners 1

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": "1304208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1083905624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E COUNTY LINE RD UNIT M",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801262439",
            "telephone_number": "303-997-7743",
            "fax_number": "303-997-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E COUNTY LINE RD UNIT M",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801262439",
            "telephone_number": "303-997-7743",
            "fax_number": "303-997-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINISHLINE PHYSICAL THERAPY & SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-01",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-997-7743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09434356",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FinishLine Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.