Organization Active NPI

Parker Wellness, LLC

  • Rehabilitation Clinic/Center
  • Parker, CO
National Provider Identifier
1356629372
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PARKER WELLNESS, LLC
Practice address
19731 E Pikes Peak CT
Ste 201
Parker, CO 80138-7401
Phone
(303) 913-8686
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Christine Jacobsen, LMT
Title
Owner/Licensed Massage Therapist
Phone
(303) 913-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

19731 E Pikes Peak CT
Ste 201
Parker, CO 80138-7401

Mailing address

19731 E Pikes Peak CT
Ste 201
Parker, CO 80138-7401
Phone (303) 913-8686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1356629372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19731 E PIKES PEAK CT",
            "address_2": "STE 201",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387401",
            "telephone_number": "303-913-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19731 E PIKES PEAK CT",
            "address_2": "STE 201",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387401",
            "telephone_number": "303-913-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "303-913-8686",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.