Osteopathic Pain and Rehabilitation Medicine, a Professional LLC.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

DR.0052372 Issued in CO

Legal business name

OSTEOPATHIC PAIN AND REHABILITATION MEDICINE, A PROFESSIONAL LLC.

Practice address

3000 Center Green Dr
#130
Boulder, CO 80301-2364

Phone

(720) 695-7288

Fax

(888) 388-8602

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian Kevin McIntyre, D.O.

Title

President/Ceo

Phone

(720) 695-7288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1164820916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CENTER GREEN DR",
            "address_2": "#130",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012364",
            "telephone_number": "720-695-7288",
            "fax_number": "888-388-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTER GREEN DR",
            "address_2": "#130",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012364",
            "telephone_number": "720-695-7288",
            "fax_number": "888-388-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC PAIN AND REHABILITATION MEDICINE, A PROFESSIONAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "720-695-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0052372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Professional Association P.C. (Boulder Bone and Joint)
• Deana Satar Orvin, OD
• Michelle A Osgood, OTR, CHT
• Kimberlea Ann Osman, PH.D.
• Muna Farah Osman
• Gale S Osterberg, LCSW
• Marcela OT'Alora G, M.A.
• Koji Otsuka, MSOM, L.AC.
• Otto Health, LLC
• Victoria Otto, PT, DPT

• Physical Medicine & Rehabilitation Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.