Organization Active NPI

Rocky Mountain Physical Therapy & Sports Injury Center, Inc.

  • Physical Therapist
  • Pagosa Springs, CO
National Provider Identifier
1124212352
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8293 Issued in CO
Legal business name
ROCKY MOUNTAIN PHYSICAL THERAPY & SPORTS INJURY CENTER, INC.
Practice address
117 Navajo Trail Drive Suite T
Pagosa Springs, CO 81147
Phone
(970) 731-3303
Fax
(970) 731-2201
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Mr. Jame Venturini
Title
Corporate Manager
Phone
(970) 731-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8293 CO Primary

Addresses

Primary practice location

117 Navajo Trail Drive Suite T
Pagosa Springs, CO 81147

Mailing address

117 Navajo Trail Drive Suite T
Pagosa Springs, CO 81147
Phone (970) 731-3303

Other identifiers 1

IdentifierTypeStateIssuer
59157267MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121023000105 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153380647 Receives reassigned benefits from 1 practitioner
Practice locations: Pagosa Springs, CO

National Provider Directory

National Provider Directory

Locations

117 Navajo Trail Dr
Ste T
Pagosa Springs, CO 81147
Phone (970) 731-3303

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": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1124212352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NAVAJO TRAIL DRIVE SUITE T",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-731-3303",
            "fax_number": "970-731-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NAVAJO TRAIL DRIVE SUITE T",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-731-3303",
            "fax_number": "970-731-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PHYSICAL THERAPY & SPORTS INJURY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "VENTURINI",
        "authorized_official_first_name": "JAME",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "970-731-3303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59157267",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.