Red Rocks Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RED ROCKS PHYSICAL THERAPY, LLC

Practice address

3208 W Colorado Ave
Colorado Springs, CO 80904-1906

Phone

(719) 313-9466

Fax

(719) 960-2095

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Heather Boehlke, DPTNPI 1851707905

Title

Owner

Phone

(719) 313-9466

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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.

• Heather Boehlke, DPT

  • Orthopedic Physical Therapist
  • Colorado Springs, CO
  • NPI 1851707905
  Medicare reassignment Care Compare group NPD Authorized official
• Marisa Keiser, DPT

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1255212833
  Care Compare group NPD

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1114420114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041906",
            "telephone_number": "719-313-9466",
            "fax_number": "719-960-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041906",
            "telephone_number": "719-313-9466",
            "fax_number": "719-960-2095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3208 W Colorado Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809041906",
            "country_code": "US",
            "telephone_number": "719-313-9466",
            "fax_number": "719-960-2095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED ROCKS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "BOEHLKE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-313-9466",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "0012668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Rock Child and Family Services LLC
• Red Rock Counseling, LLC
• Red Rock Military Services
• Red Rock Military Services
• Red Rocks Eyecare LLC (Red Rocks Eyecare)
• Hollie M Reda, PA
• Carolyn R Redar, P.A.
• Jaclyn Redar, CP
• Andrea Heather Redd, RN
• Alexandria Redden

• 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 Oct 30, 2023; 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.