Organization Active NPI

Sand Creek Exercise Rehab, Inc

  • Chiropractor
  • Aurora, CO
National Provider Identifier
1104075795
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2365 Issued in CO
Legal business name
SAND CREEK EXERCISE REHAB, INC
Practice address
2499 Peoria St
Aurora, CO 80010-1635
Phone
(303) 360-5353
NPI assigned
Sep 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Vicki Swenson, D.C.
Title
President
Phone
(303) 360-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2365 CO Primary

Addresses

Primary practice location

2499 Peoria St
Aurora, CO 80010-1635

Mailing address

2499 Peoria St
Aurora, CO 80010-1635
Phone (303) 360-5353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1104075795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101635",
            "telephone_number": "303-360-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101635",
            "telephone_number": "303-360-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND CREEK EXERCISE REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-360-5353",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.