Organization Active NPI

Altitude Health Group LLC

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1124989785
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALTITUDE HEALTH GROUP LLC
Practice address
107 Cameron Dr
Fort Collins, CO 80525-3802
Phone
(970) 687-2667
NPI assigned
Nov 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Ausitn Gore, D.C
Title
Owner
Phone
(630) 857-0020

Specialties & licenses 1

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

Addresses

Primary practice location

107 Cameron Dr
Fort Collins, CO 80525-3802

Mailing address

107 Cameron Dr
Fort Collins, CO 80525-3802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109003796 CO Part B Supplier - Clinic/Group Practice 8527544428 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

107 Cameron Dr
Fort Collins, CO 80525
Phone (970) 225-9399

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": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1124989785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CAMERON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CAMERON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253802",
            "telephone_number": "970-687-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "AUSITN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-857-0020",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.