Organization Active NPI

Asrc Fort Collins P.C. LLC

  • Rehabilitation Chiropractor
  • Fort Collins, CO
National Provider Identifier
1184838757
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
5545 Issued in CO
Legal business name
ASRC FORT COLLINS P.C. LLC
Practice address
4103 Boardwalk Drive Ste 202
Fort Collins, CO 80525-5930
Phone
(970) 377-2922
Fax
(970) 377-3507
NPI assigned
May 10, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Michael Keith Thompson, D.C.NPI 1407937014
Title
President
Phone
(307) 637-7055

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 5545 CO Primary

Addresses

Primary practice location

4103 Boardwalk Drive Ste 202
Fort Collins, CO 80525-5930

Mailing address

1330 Ridge Road
Cheyenne, WY 82001-5917
Phone (307) 637-7055

National Provider Directory

National Provider Directory

Locations

1330 Ridge Rd
Cheyenne, WY 82001
Phone (307) 637-7055

Practitioners & affiliated clinicians

Practitioners 3

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1184838757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 RIDGE ROAD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015917",
            "telephone_number": "307-637-7055",
            "fax_number": "307-637-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BOARDWALK DRIVE STE 202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255930",
            "telephone_number": "970-377-2922",
            "fax_number": "970-377-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASRC FORT COLLINS P.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-637-7055",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "5545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.