NPIMap

Organization Active NPI

Rocky Mountain Provider Network, LLC

  • Psychologist
  • Aurora, CO
National Provider Identifier
1265609317
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROCKY MOUNTAIN PROVIDER NETWORK, LLC
Practice address
13650 East Mississippi Ave, Suite 100B
Aurora, CO 80012
Phone
(303) 872-1980
Fax
(720) 343-1260
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Michelle Klein
Title
VP of Operations
Phone
(303) 341-4730

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 3393 CO
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X CO Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1162 CO
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CO

Addresses

Primary practice location

13650 East Mississippi Ave, Suite 100B
Aurora, CO 80012

Mailing address

10700 East Geddes Ave, Suite 100
Englewood, CO 80112
Phone (303) 341-4730

Other names 1

  • Potomac Physical Therapy, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

18240 E 104th Ave
Unit 205
Commerce City, CO 80022
Phone (303) 286-0027

6825 E Tennessee Ave
Ste 545
Denver, CO 80224
Phone (303) 872-1980

3601 S Clarkson St
Ste 130
Englewood, CO 80113
Phone (720) 974-7464

6080 W 92nd Ave
Ste 1000
Westminster, CO 80031
Phone (303) 427-0796

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1265609317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 EAST GEDDES AVE, SUITE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-341-4730",
            "fax_number": "720-545-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 EAST MISSISSIPPI AVE, SUITE 100B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "303-872-1980",
            "fax_number": "720-343-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PROVIDER NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "303-341-4730"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3393",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "1162",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Physical Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.