Physical Medicine of Colorado, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17008 Issued in CO

Legal business name

PHYSICAL MEDICINE OF COLORADO, PLLC

Practice address

3083 Walnut St
Boulder, CO 80301-2509

Phone

(303) 440-0500

Fax

(303) 440-4621

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Douglas J Terry, D,O.NPI 1396899514

Title

Clinic Manager

Phone

(303) 912-3596

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Jay Terry, D.C.

  • Chiropractor
  • Boulder, CO
  • NPI 1396899514
  NPD (past) Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1144598160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012509",
            "telephone_number": "303-440-0500",
            "fax_number": "303-440-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012509",
            "telephone_number": "303-440-0500",
            "fax_number": "303-440-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "303-912-3596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-1561",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "17008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne F Phillips, MD
• Demitra Philosophos, PA-C
• Olivia Phipps, LPCC
• PHNX LLC
• Alvonnda M Phoenix
• Physical Therapy of Boulder
• Physiotherapy Associates Inc
• Darcy P Piceu, MA, LPC
• Piece of Mind Neuropsychology Inc.
• Judith Anne Pieken, MA, CCC-SLP

• General Practice Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.