NPIMap

Organization Active NPI

Coreance, Inc.

Doing business as Coreance Rehabilitation & Training Center

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1154367076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COREANCE, INC.
Doing business as
Coreance Rehabilitation & Training Center
Practice address
2935 Baseline Rd
Ste 300
Boulder, CO 80303-2366
Phone
(303) 444-2951
Fax
(303) 444-4779
NPI assigned
Jun 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffry R Jones, MS CPT
Title
Vice President
Phone
(303) 444-2951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CO Primary

Addresses

Primary practice location

2935 Baseline Rd
Ste 300
Boulder, CO 80303-2366

Mailing address

2935 Baseline Rd
Ste 300
Boulder, CO 80303-2366
Phone (303) 444-2951

Other names 1

  • Coreance Rehabilitation & Training Center Doing business as

National Provider Directory

National Provider Directory

Locations

2935 Baseline Rd
Ste 300
Boulder, CO 80303
Phone (303) 444-2951

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154367076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "303-444-2951",
            "fax_number": "303-444-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "303-444-2951",
            "fax_number": "303-444-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "303-444-2951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS CPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coreance Rehabilitation & Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.