NPIMap

Organization Active NPI

Roaring Fork Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Basalt, CO
National Provider Identifier
1295866770
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2906 Issued in CO
Legal business name
ROARING FORK PHYSICAL THERAPY, PC
Practice address
1450 E Valley Rd
Suite 203
Basalt, CO 81621-8352
Phone
(970) 927-9319
Fax
(970) 927-0168
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Elizabeth Pettit, DPTNPI 1104850239
Title
Owner
Phone
(970) 927-9319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 2906 CO
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X 2906 CO Primary

Addresses

Primary practice location

1450 E Valley Rd
Suite 203
Basalt, CO 81621-8352

Mailing address

1450 E Valley Rd
Suite 203
Basalt, CO 81621-8352
Phone (970) 927-9319

National Provider Directory

National Provider Directory

Locations

1450 E Valley Rd
Unit 203
Basalt, CO 81621
Phone (970) 927-9319

326 Highway 133
Ste 180
Carbondale, CO 81623
Phone (970) 963-9576

Practitioners & affiliated clinicians

Practitioners 8

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1295866770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 203",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218352",
            "telephone_number": "970-927-9319",
            "fax_number": "970-927-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 203",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218352",
            "telephone_number": "970-927-9319",
            "fax_number": "970-927-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROARING FORK PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-927-9319",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2906",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "2906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.