Organization Active NPI

Roaring Fork Rehab & Performance LLC

  • Sports Physical Therapist
  • Glenwood Springs, CO
National Provider Identifier
1184574733
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
ROARING FORK REHAB & PERFORMANCE LLC
Practice address
100 Midland Ave Unit 250
Glenwood Springs, CO 81601-9808
Phone
(970) 945-4440
NPI assigned
Feb 2, 2026
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Dreiling Jack Green, DPTNPI 1265026009
Title
Owner/Physical Therapist
Phone
(316) 734-0984

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
Sports Physical Therapist 2251S0007X Primary

Addresses

Primary practice location

100 Midland Ave Unit 250
Glenwood Springs, CO 81601-9808

Mailing address

100 Midland Ave Unit 250
Glenwood Springs, CO 81601-9808
Phone (970) 945-4440

National Provider Directory

National Provider Directory

Locations

100 Midland Ave
Unit 250
Glenwood Springs, CO 81601
Phone (970) 279-4099

Practitioners & affiliated clinicians

Practitioners 4

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": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1184574733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MIDLAND AVE UNIT 250",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816019808",
            "telephone_number": "970-945-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIDLAND AVE UNIT 250",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816019808",
            "telephone_number": "970-945-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROARING FORK REHAB & PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DREILING",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "316-734-0984",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.