NPIMap

Organization Active NPI

Apex Physical Medicine and Rehabilitation Professional LLC

Doing business as Apex Physical Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
National Provider Identifier
1306687371
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
APEX PHYSICAL MEDICINE AND REHABILITATION PROFESSIONAL LLC
Doing business as
Apex Physical Medicine and Rehabilitation
Practice address
1720 Jet Stream Dr
Colorado Springs, CO 80921-3938
Phone
(719) 635-3764
NPI assigned
Jun 4, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Heather Copeland
Title
Administration
Phone
(719) 635-3764

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Internal Medicine Physician 207R00000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Pediatrics Physician 208000000X
Physical Medicine & Rehabilitation Physician 208100000X Primary
Psychiatry Physician 2084P0800X
Pain Medicine Physician 208VP0000X
Urgent Care Clinic/Center 261QU0200X
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

1720 Jet Stream Dr
Colorado Springs, CO 80921-3938

Mailing address

3910 S Carefree Cir Ste F
Colorado Springs, CO 80917-3053
Phone (719) 635-3764

Other names 1

  • Apex Physical Medicine and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040908000526 CO Part B Supplier - Clinic/Group Practice 3971579228 Receives reassigned benefits from 12 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Apex Physical Medicine and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1720 Jet Stream Dr
Colorado Springs, CO 80921
Phone (719) 635-3764

1720 Jet Stream Dr
Ste 200
Colorado Springs, CO 80921
Phone (719) 635-3764

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1306687371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 S CAREFREE CIR STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173053",
            "telephone_number": "719-635-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-635-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PHYSICAL MEDICINE AND REHABILITATION PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "719-635-3764"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Physical Medicine and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apex Physical Medicine and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2024; 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.