Organization Active NPI

Centennial Rehab Center LLC

  • Orthopedic Physical Therapist
  • Centennial, CO
National Provider Identifier
1194991323
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
CENTENNIAL REHAB CENTER LLC
Practice address
8100 S Quebec St
Suite B17
Centennial, CO 80112-4408
Phone
(303) 779-7969
Fax
(303) 779-1501
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mrs. Kristin Forsstrom
Title
Owner
Phone
(303) 779-7969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

8100 S Quebec St
Suite B17
Centennial, CO 80112-4408

Mailing address

8200 S Quebec St
Suite A3, Box 150
Centennial, CO 80112-4411
Phone (303) 779-7969

National Provider Directory

National Provider Directory

Locations

8100 S Quebec St
Ste B17
Centennial, CO 80112
Phone (303) 770-5666

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1194991323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S QUEBEC ST",
            "address_2": "SUITE A3, BOX 150",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124411",
            "telephone_number": "303-779-7969",
            "fax_number": "303-779-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S QUEBEC ST",
            "address_2": "SUITE B17",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124408",
            "telephone_number": "303-779-7969",
            "fax_number": "303-779-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FORSSTROM",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-779-7969",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.