Team Fort Collins Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1837-00 Issued in CO

Legal business name

TEAM FORT COLLINS INC.

Doing business as

TEAM Wellness & Prevention

Practice address

201 S College Ave # 400
Fort Collins, CO 80524-3182

Phone

(970) 224-9931

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gordon R Coombes

Title

Executive Director

Phone

(970) 224-9931

Specialties & licenses 1

Addresses

Other names 1

• TEAM Wellness & Prevention Doing business as

Locations

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386162626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S COLLEGE AVE # 400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243182",
            "telephone_number": "970-224-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S COLLEGE AVE # 400",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243182",
            "telephone_number": "970-224-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM FORT COLLINS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COOMBES",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-224-9931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1837-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEAM Wellness & Prevention",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liana Sophia Taylor, RN
• Lisa Marie Taylor
• Sara Taylor
• Skyla Taylor, DPT
• Tiffany Kate Taylor, CMT
• Serafina L Teasdale
• Gianna Tedesco
• Abigail Teel, PTA
• Gloria Teerman
• Jacqueline Teiger, RN

• Community/Behavioral Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.