NPIMap

Organization Active NPI

Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1194390518
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Practice address
1268 Interquest Pkwy Ste 110
Colorado Springs, CO 80921-4209
Phone
(719) 418-7610
NPI assigned
May 26, 2021
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PANORAMA ORTHOPEDICS & SPINE CENTER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Mark J ConklinNPI 1255393047
Title
President
Phone
(303) 274-7321

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
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1268 Interquest Pkwy Ste 110
Colorado Springs, CO 80921-4209

Mailing address

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone (303) 233-1223

Other names 1

  • Orthopedic Rehabilitation Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000424 CO Part B Supplier - Clinic/Group Practice 8426961087 Receives reassigned benefits from 500 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Littleton, CO; Golden, CO; Lakewood, CO; Highlands Ranch, CO; Greenwood Village, CO; Lone Tree, CO; Monument, CO; Parker, CO…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Orthopaedic Clinic61 organizations share this tax ID, including this one
Part of
Lakewood Orthopaedic Clinic

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

5945 Ward Rd
Ste 110
Arvada, CO 80004
Phone (303) 424-4589

18878 E Hampden Ave
Aurora, CO 80013
Phone (303) 418-4450

2706 28th St
Boulder, CO 80301
Phone (303) 444-1290

390 S Wilcox St
Ste B
Castle Rock, CO 80104
Phone (303) 839-8068

14000 E Arapahoe Rd
Ste 110
Centennial, CO 80112
Phone (303) 218-4250

14000 E Arapahoe Rd
Ste 300
Centennial, CO 80112
Phone (303) 617-7782

6202 S Parker Rd
Unit 500
Centennial, CO 80016
Phone (720) 361-2304

1268 Interquest Pkwy
Ste 110
Colorado Springs, CO 80921
Phone (719) 418-7610

850 E Harvard Ave
Ste 155
Denver, CO 80210
Phone (303) 778-1910

1060 Plaza Dr
#100
Highlands Ranch, CO 80129
Phone (303) 345-3242

640 Plaza Dr
Ste 110
Highlands Ranch, CO 80129
Phone (720) 497-6173

640 Plaza Dr
Ste 130
Highlands Ranch, CO 80129

640 Plaza Dr
Ste 300
Highlands Ranch, CO 80129

991 Southpark Dr
Ste 110
Littleton, CO 80120
Phone (303) 867-3280

18260 Lincoln Ave
Ste 107
Parker, CO 80134
Phone (303) 414-2148

Practitioners & affiliated clinicians

Practitioners 517

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.

View all 517

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1194390518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 INTERQUEST PKWY STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214209",
            "telephone_number": "719-418-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "enumeration_date": "2021-05-26",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-274-7321"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Rehabilitation Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Orthopedic Rehabilitation Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.