Alpenglow Functional Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ALPENGLOW FUNCTIONAL REHAB LLC

Practice address

4419 Edwinstowe Ave
Colorado Springs, CO 80907-3607

Phone

(267) 888-1254

NPI assigned

Jun 3, 2024

Last updated

Jun 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bridget Kathleen HartmanNPI 1861961237

Title

Sole Proprietor

Phone

(267) 888-1254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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.

• Bridget Kathleen Hartman, MOT, OTR/L

  • Occupational Therapist
  • Colorado Springs, CO
  • NPI 1861961237
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1194566224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 EDWINSTOWE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073607",
            "telephone_number": "267-888-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 EDWINSTOWE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073607",
            "telephone_number": "267-888-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPENGLOW FUNCTIONAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "267-888-1254"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.