Active NPI
Rocky Mountain Human Performance Inc
- Physical Therapy Clinic/Center
- West Springfield, MA
National Provider Identifier
1336356161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 6649
- Legal business name
- ROCKY MOUNTAIN HUMAN PERFORMANCE INC
- Practice address
- 1111 Elm St
Suite 16
West Springfield, MA 01089-1540 - Phone
- (413) 739-2700
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Allen Black, PHD, PT
- Title
- Director
- Phone
- (413) 739-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 6649 | MA | Primary |
Addresses
Primary practice location
1111 Elm St
Suite 16
West Springfield, MA 01089-1540
Mailing address
1111 Elm St
Suite 16
West Springfield, MA 01089-1540
Phone (413) 739-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3343586 | Other | MA | AETNA |
| Y61403 | Other | MA | BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336356161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 ELM ST",
"address_2": "SUITE 16",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891540",
"telephone_number": "413-739-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 ELM ST",
"address_2": "SUITE 16",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891540",
"telephone_number": "413-739-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN HUMAN PERFORMANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "413-739-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MA",
"license": "6649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3343586",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y61403",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Springfield, MA
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.