Organization Active NPI

Rubicon Physical Therapy

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1306050364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7313 Issued in CO
Legal business name
RUBICON PHYSICAL THERAPY
Practice address
559 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80903-3651
Phone
(719) 471-8142
Fax
(719) 471-2116
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph J Muzzio, MPT,MTC,ACSM
Title
Physical Therapist
Phone
(719) 471-8142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 7313 CO Primary

Addresses

Primary practice location

559 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80903-3651

Mailing address

559 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80903-3651
Phone (719) 471-8142

Other identifiers 1

IdentifierTypeStateIssuer
65781783MedicaidCO

National Provider Directory

National Provider Directory

Locations

559 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80903
Phone (303) 669-0644

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306050364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E PIKES PEAK AVE",
            "address_2": "STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033651",
            "telephone_number": "719-471-8142",
            "fax_number": "719-471-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 E PIKES PEAK AVE",
            "address_2": "STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033651",
            "telephone_number": "719-471-8142",
            "fax_number": "719-471-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUZZIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "719-471-8142",
        "authorized_official_credential": "MPT,MTC,ACSM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "7313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65781783",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.