Organization Active NPI

Sunrise Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Durango, CO
National Provider Identifier
1336579085
Registry record updated Nov 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2925 Issued in CO
Legal business name
SUNRISE PHYSICAL THERAPY, LLC
Practice address
100 Jenkins Ranch Rd
Suite E5
Durango, CO 81301-9474
Phone
(970) 259-8851
Fax
(877) 460-5666
NPI assigned
Nov 16, 2013
Last updated
Nov 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2013

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

Authorized official

Name
Richard S Stockwell Jr., PTNPI 1750437844
Title
Director
Phone
(970) 749-5308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2925 CO Primary

Addresses

Primary practice location

100 Jenkins Ranch Rd
Suite E5
Durango, CO 81301-9474

Mailing address

32 Fir CT
Durango, CO 81301-7594
Phone (970) 259-8851

National Provider Directory

National Provider Directory

Locations

100 Jenkins Ranch Rd
Unit E5
Durango, CO 81301
Phone (970) 259-8851

Practitioners & affiliated clinicians

Practitioners 1

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": "1384560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384560000000",
    "number": "1336579085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FIR CT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017594",
            "telephone_number": "970-259-8851",
            "fax_number": "877-460-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JENKINS RANCH RD",
            "address_2": "SUITE E5",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019474",
            "telephone_number": "970-259-8851",
            "fax_number": "877-460-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A",
        "authorized_official_last_name": "STOCKWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-749-5308",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "2925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; 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.