Organization Active NPI

Rocky Mountain Spine and Sport, LLC

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1104907955
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7124 Issued in CO
Legal business name
ROCKY MOUNTAIN SPINE AND SPORT, LLC
Practice address
10268 W Centennial Rd
Suite 101
Littleton, CO 80127-6423
Phone
(303) 948-2999
Fax
(303) 948-8667
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Valerie J Musick
Title
Operations Manager
Phone
(303) 792-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 7124 CO Primary

Addresses

Primary practice location

10268 W Centennial Rd
Suite 101
Littleton, CO 80127-6423

Mailing address

10268 W Centennial Rd
Suite 101
Littleton, CO 80127-6423
Phone (303) 948-2999

Other identifiers 1

IdentifierTypeStateIssuer
662341OtherCOBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1104907955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10268 W CENTENNIAL RD",
            "address_2": "SUITE 101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276423",
            "telephone_number": "303-948-2999",
            "fax_number": "303-948-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10268 W CENTENNIAL RD",
            "address_2": "SUITE 101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276423",
            "telephone_number": "303-948-2999",
            "fax_number": "303-948-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN SPINE AND SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "MUSICK",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "303-792-7377"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "662341",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.