Organization Active NPI

Aspen Club Sports Medicine Inst

  • Physical Therapist
  • Aspen, CO
National Provider Identifier
1285745802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ASPEN CLUB SPORTS MEDICINE INST
Practice address
1450 Crystal Lake Road
Aspen, CO 81611-2255
Phone
(970) 920-5827
Fax
(970) 925-4879
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Hoffman
Title
Controller
Phone
(970) 920-5827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1450 Crystal Lake Road
Aspen, CO 81611-2255

Mailing address

1450 Crystal Lake Road
Aspen, CO 81611-2255
Phone (970) 920-5827

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285745802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CRYSTAL LAKE ROAD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112255",
            "telephone_number": "970-920-5827",
            "fax_number": "970-925-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CRYSTAL LAKE ROAD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112255",
            "telephone_number": "970-920-5827",
            "fax_number": "970-925-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CLUB SPORTS MEDICINE INST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "970-920-5827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.