NPIMap

Organization Active NPI

Rocky Mountain Spine & Sport, LLC

  • Physical Therapist
  • Arvada, CO
National Provider Identifier
1295067866
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10646 Issued in CO
Legal business name
ROCKY MOUNTAIN SPINE & SPORT, LLC
Practice address
15530 W 64TH Ave
Unit E-F
Arvada, CO 80007-6874
Phone
(303) 424-4589
Fax
(303) 424-4632
NPI assigned
Feb 8, 2010
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Eric Wayne Krell, PT
Title
Ownder
Phone
(303) 702-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10646 CO Primary

Addresses

Primary practice location

15530 W 64TH Ave
Unit E-F
Arvada, CO 80007-6874

Mailing address

15530 W 64TH Ave
Unit E-F
Arvada, CO 80007-6874
Phone (303) 424-4589

Other identifiers 1

IdentifierTypeStateIssuer
C477678OtherCOPHYSICAL THERAPY

National Provider Directory

National Provider Directory

Locations

15530 W 64th Ave
Unit Ef
Arvada, CO 80007
Phone (303) 424-4589

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1295067866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE",
            "address_2": "UNIT E-F",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE",
            "address_2": "UNIT E-F",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN SPINE & SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "KRELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "303-702-7377",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "C477678",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.