Organization Active NPI

Bounce Back Rehab Services, Inc.

  • Physical Therapy Clinic/Center
  • Littleton, CO
National Provider Identifier
1306156872
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4007 Issued in CO
Legal business name
BOUNCE BACK REHAB SERVICES, INC.
Practice address
7629 Chickaree PL
Littleton, CO 80125-8412
Phone
(303) 434-4365
Fax
(303) 957-5512
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Cindy D FowlerNPI 1407180193
Title
Secretary
Phone
(303) 434-4365

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 4007 CO Primary

Addresses

Primary practice location

7629 Chickaree PL
Littleton, CO 80125-8412

Mailing address

7629 Chickaree PL
Littleton, CO 80125-8412
Phone (303) 434-4365

Other identifiers 1

IdentifierTypeStateIssuer
29377366MedicaidCO

Other names 1

  • Stephen M. Fowler Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1306156872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 CHICKAREE PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801258412",
            "telephone_number": "303-434-4365",
            "fax_number": "303-957-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 CHICKAREE PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801258412",
            "telephone_number": "303-434-4365",
            "fax_number": "303-957-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE BACK REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "303-434-4365"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29377366",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen M. Fowler",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.