Colorado Spine and Sport

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9340 Issued in CO

Legal business name

COLORADO SPINE AND SPORT

Practice address

335 W South Boulder Rd
Suite 1
Louisville, CO 80027-1196

Phone

(303) 604-4358

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Maureen Thomm, D.C.NPI 1356483358

Title

Owner

Phone

(303) 604-4358

Specialties & licenses 3

Addresses

Locations

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.

• Maureen M Thomm, D.C.

  • Chiropractor
  • Louisville, CO
  • NPI 1356483358
  NPD (past) Authorized official

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1386060689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W SOUTH BOULDER RD",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271196",
            "telephone_number": "303-604-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W SOUTH BOULDER RD",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271196",
            "telephone_number": "303-604-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPINE AND SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "THOMM",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-604-4358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5130",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5684",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Louisville, CO
• Providers in Louisville, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.