Glenwood Medical Associates PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GLENWOOD MEDICAL ASSOCIATES PC

Practice address

201 W 3Rd St Ste 101
Rifle, CO 81650-2250

Phone

(970) 945-8503

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By 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

Ivy Anne Davis

Title

Assist Practice Manager

Phone

(970) 945-8503

Specialties & licenses 1

Addresses

Tax ID family

Eagle Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Glenwood Medical Associates PC

  • Family Medicine Physician
  • Silt, CO
  • NPI 1073867271
  NPD tax ID
• Glenwood Medical Associates PC

  • Rural Health Clinic/Center
  • New Castle, CO
  • NPI 1184599177
  NPD tax ID
• Glenwood Medical Associates PC

  • Physical Therapy Clinic/Center
  • Glenwood Springs, CO
  • NPI 1558012468
  NPD tax ID
• Glenwood Medical Associates PC

  dba Glenwood Medical Assoc

  • Family Medicine Physician
  • New Castle, CO
  • NPI 1992312813
  NPD tax ID

Locations

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1265183172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 3RD ST STE 101",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816502250",
            "telephone_number": "970-945-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ASSIST PRACTICE MANAGER",
        "authorized_official_telephone_number": "970-945-8503"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garfield County Public Health
• Garfield School District No. Re-2
• Samantha Leeann Gerard, RDH
• Jonathan Gibans, M.D.
• Stephen Glass, DDS
• Mary Jane Glode, MD
• Jennifer Glynn, MSW
• Utsav Goel, MD
• Daniel Goldberg, M.D.
• Rosa Isela Gonzalez-Ortega, FNP

• Physical Therapy Clinic/Center in Rifle, CO
• Providers in Rifle, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.