Fort Collins Functional Movement Institute

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

8810 Issued in CO

Legal business name

FORT COLLINS FUNCTIONAL MOVEMENT INSTITUTE

Practice address

147 W Oak St
Unit 111
Fort Collins, CO 80524-2824

Phone

(970) 492-5619

NPI assigned

Jan 3, 2015

Last updated

Jan 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Lisa Erin Debord, PTNPI 1538378526

Title

Owner

Phone

(970) 492-5619

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lisa Erin Debord, PT

  • Physical Therapist
  • Fort Collins, CO
  • NPI 1538378526
  NPD (past) Authorized official

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420243200000",
    "number": "1144618851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 BISHOP ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211708",
            "telephone_number": "970-492-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W OAK ST",
            "address_2": "UNIT 111",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242824",
            "telephone_number": "970-492-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS FUNCTIONAL MOVEMENT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-03",
        "last_updated": "2015-01-03",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-492-5619",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "8810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Collins Dentist Family & Implant Dentistry PLLC
• Fort Collins Family Acupuncture
• Fort Collins Family Care
• Fort Collins Family Eye Care
• Fort Collins Family Physicians Professional LLC
• Fort Collins Functional Movement Institute
• Fort Collins Gonstead Chiropractic
• Fort Collins Kids Dentistry
• Fort Collins Kids Orthodontics LLC
• Fort Collins Medi-Spa

• Physical Therapy Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; 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.