Individual provider Active NPI

Eric Co Harbour, ATC

  • Kinesiotherapist
  • Georgetown, CO
National Provider Identifier
1336510593
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
KinesiotherapistTaxonomy code 226300000X
License
2000013842 Issued in CO
Practice address
Loveland Ski Club
Exit 216, Interstate 70
Georgetown, CO 80444
Phone
(248) 766-4465
NPI assigned
Oct 14, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Kinesiotherapist 226300000X 2000013842 CO Primary

Addresses

Primary practice location

Loveland Ski Club
Exit 216, Interstate 70
Georgetown, CO 80444

Mailing address

7500 W 10TH Ave
Apt 3a
Lakewood, CO 80214-4235
Phone (248) 766-4465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2000013842COMDKinesiotherapist

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1336510593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 W 10TH AVE",
            "address_2": "APT 3A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144235",
            "telephone_number": "248-766-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOVELAND SKI CLUB",
            "address_2": "EXIT 216, INTERSTATE 70",
            "city": "GEORGETOWN",
            "state": "CO",
            "postal_code": "80444",
            "telephone_number": "248-766-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOUR",
        "first_name": "ERIC",
        "middle_name": "CO",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "CO",
            "license": "2000013842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.