Resilient Physiotherapy and Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RESILIENT PHYSIOTHERAPY AND PERFORMANCE, LLC

Practice address

1402 S 3Rd Ave
Sterling, CO 80751-4650

Phone

(970) 526-6038

Fax

(970) 526-6054

NPI assigned

Nov 15, 2021

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Cory Moore, PT,DPT, OCS, FAAOMPTNPI 1508203118

Title

Co-Owner, PT

Phone

(970) 526-6038

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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.

• Nicholas C. Moore, DPT, OCS, FAAOMPT

  • Physical Therapist
  • Sterling, CO
  • NPI 1508203118
  Medicare reassignment Care Compare group NPD Authorized official
• Rachel Dabul, PT, DPT

  • Physical Therapist
  • Sterling, CO
  • NPI 1720515265
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1386300341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S 3RD AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514650",
            "telephone_number": "970-526-6038",
            "fax_number": "970-526-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S 3RD AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514650",
            "telephone_number": "970-526-6038",
            "fax_number": "970-526-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT PHYSIOTHERAPY AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "CO-OWNER, PT",
        "authorized_official_telephone_number": "970-526-6038",
        "authorized_official_credential": "PT,DPT, OCS, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Elizabeth Radel, ADDC,LPCC
• Hannah Raffaeli, DOULA
• Tanya N Read, BSN, RN
• Red Mountain Internal Medicine
• Donald E Reed, MD
• Jacob Reyes
• Rhino Wellness Center
• Stacey Rhodes, PA-C
• Diana Rios
• Emma Rivera

• Physical Therapy Clinic/Center in Sterling, CO
• Providers in Sterling, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.