Organization Active NPI

The Point Sports Medicine & Rehabilitation Inc.

  • Physical Therapist
  • Greeley, CO
National Provider Identifier
1295832426
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE POINT SPORTS MEDICINE & REHABILITATION INC.
Practice address
4663 W 20TH Street Rd
Greeley, CO 80634-3246
Phone
(970) 352-8762
Fax
(970) 353-2081
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Alan Anderson
Title
Office Manager
Phone
(970) 352-8762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

4663 W 20TH Street Rd
Greeley, CO 80634-3246

Mailing address

4663 W 20TH Street Rd
Greeley, CO 80634-3246
Phone (970) 352-8762

Other identifiers 1

IdentifierTypeStateIssuer
70750084MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000523 CO Part B Supplier - Clinic/Group Practice 8325031313 Receives reassigned benefits from 11 practitioners
Practice locations: Denver, CO; Greeley, CO; Johnstown, CO

National Provider Directory

National Provider Directory

Locations

6900 E 47th Avenue Dr
Ste 150
Denver, CO 80216
Phone (303) 388-7719

4663 W 20th St
Greeley, CO 80634
Phone (970) 352-8762

6801 W 20th St
Unit 203
Greeley, CO 80634
Phone (970) 339-5319

7251 W 20th St
Ste 200
Greeley, CO 80634
Phone (970) 339-5319

473 Castle Pines Ave
Johnstown, CO 80534

473 Castle Pines Ave
#2
Johnstown, CO 80534
Phone (970) 451-5093

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1295832426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4663 W 20TH STREET RD",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343246",
            "telephone_number": "970-352-8762",
            "fax_number": "970-353-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4663 W 20TH STREET RD",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343246",
            "telephone_number": "970-352-8762",
            "fax_number": "970-353-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POINT SPORTS MEDICINE & REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-352-8762"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70750084",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.