NPIMap

Organization Active NPI

Gunbarrel Physical Therapy and Massage

  • Health Maintenance Organization
  • Boulder, CO
National Provider Identifier
1295924678
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
42528420000 Issued in CO
Legal business name
GUNBARREL PHYSICAL THERAPY AND MASSAGE
Practice address
6545 Gunpark Dr
Suite #270
Boulder, CO 80301-3347
Phone
(303) 530-4415
Fax
(303) 530-4413
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Mr. Michael S Perillo
Title
Owner
Phone
(303) 530-4415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 42528420000 CO Primary

Addresses

Primary practice location

6545 Gunpark Dr
Suite #270
Boulder, CO 80301-3347

Mailing address

6545 Gunpark Dr
Suite #270
Boulder, CO 80301-3347
Phone (303) 530-4415

National Provider Directory

National Provider Directory

Locations

6545 Gunpark Dr
Ste 270
Boulder, CO 80301
Phone (303) 530-4415

Practitioners & affiliated clinicians

Practitioners 6

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1295924678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 GUNPARK DR",
            "address_2": "SUITE #270",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013347",
            "telephone_number": "303-530-4415",
            "fax_number": "303-530-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 GUNPARK DR",
            "address_2": "SUITE #270",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013347",
            "telephone_number": "303-530-4415",
            "fax_number": "303-530-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNBARREL PHYSICAL THERAPY AND MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "PERILLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-530-4415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "42528420000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.