NPIMap

Organization Active NPI

Panorama Orthopedics & Spine Center, PC

Doing business as Orthopedic Rehabilitation Associates

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1124730742
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Doing business as
Orthopedic Rehabilitation Associates
Practice address
7218 North Academy Blvd,
Colorado Springs, CO 80920
Phone
(719) 505-7510
Fax
(719) 505-7229
NPI assigned
Dec 14, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PANORAMA ORTHOPEDICS & SPINE CENTER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Mark J Conklin, MDNPI 1255393047
Title
President
Phone
(303) 587-3061

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

7218 North Academy Blvd,
Colorado Springs, CO 80920

Mailing address

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone (303) 233-1223

Other names 1

  • Orthopedic Rehabilitation Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000424 CO Part B Supplier - Clinic/Group Practice 8426961087 Receives reassigned benefits from 500 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Littleton, CO; Golden, CO; Lakewood, CO; Highlands Ranch, CO; Greenwood Village, CO; Lone Tree, CO; Monument, CO; Parker, CO…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Orthopaedic Clinic61 organizations share this tax ID, including this one
Part of
Lakewood Orthopaedic Clinic

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

5139 S Yosemite St
Greenwood Village, CO 80111
Phone (303) 284-3523

4550 Main St
Unit 200
Westminster, CO 80031
Phone (720) 497-6162

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1124730742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 NORTH ACADEMY BLVD,",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-505-7510",
            "fax_number": "719-505-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-587-3061",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Rehabilitation Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.