Organization Active NPI

NFR Neuro Fascial Re Education and Massage LLC

  • Point of Service
  • Boulder, CO
National Provider Identifier
1134479504
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MT 10707 Issued in CO
Legal business name
NFR NEURO FASCIAL RE EDUCATION AND MASSAGE LLC
Practice address
1800 30TH St
Suite 220a
Boulder, CO 80301-1088
Phone
(720) 505-1541
NPI assigned
Sep 13, 2012
Organization subpart
Yes
Parent organization
NFR NEURO FASCIAL RE EDUCATION AND MASSAGE GARY REMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Mr. Gary Frank Remes, MT.NPI 1750583472
Title
Owner
Phone
(720) 505-1541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MT 10707 CO Primary

Addresses

Primary practice location

1800 30TH St
Suite 220a
Boulder, CO 80301-1088

Mailing address

4417 San Marco Dr
Longmont, CO 80503-4165
Phone (720) 505-1541

Other identifiers 1

IdentifierTypeStateIssuer
1750583472OtherCOMASSAGE

National Provider Directory

National Provider Directory
Part of
NFR Neuro Fascial Re Education and Massage LLC

Locations

1800 30th St
Ste 220A
Boulder, CO 80301
Phone (720) 505-1541

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": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1134479504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 SAN MARCO DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805034165",
            "telephone_number": "720-505-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST",
            "address_2": "SUITE 220A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011088",
            "telephone_number": "720-505-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NFR NEURO FASCIAL RE EDUCATION AND MASSAGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NFR NEURO FASCIAL RE EDUCATION AND MASSAGE GARY REMES",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "REMES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-505-1541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "MT 10707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE",
            "identifier": "1750583472",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.