Carbon Creek Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CARBON CREEK PHYSICAL THERAPY LLC

Practice address

405 W Tomichi Ave
Gunnison, CO 81230-2713

Phone

(970) 901-7684

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Robert BaumgartenNPI 1972532208

Title

Owner

Phone

(209) 327-8872

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Robert Baumgarten, P.T.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Gunnison, CO
  • NPI 1972532208

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1295359776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812300335",
            "telephone_number": "209-327-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W TOMICHI AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302713",
            "telephone_number": "970-901-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON CREEK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-327-8872",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bob@carboncreekpt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "405 W Tomichi Ave",
            "city": "Gunnison",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812302713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hana Sophia Bucholz
• Debora Burnett, DVM
• Katherine Burrall, MSW, LSW
• Ingrid Jean Butts, LMT
• Adriana Caputo, LPC
• Carepoint Outpatient Blue Sky Neurology PLLC
• Anthony R Cecere, PHARMACIST
• Chamberland Orthopaedics PC
• Patricia D Chamberland, MD
• Child and Family Guidance and Support Center

• All providers in Gunnison, CO
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.