NPIMap

Organization Active NPI

Durango Sports Club, Inc.

  • Physical Therapist
  • Durango, CO
National Provider Identifier
1386728285
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DURANGO SPORTS CLUB, INC.
Practice address
1600 Florida Rd
Durango, CO 81301-6836
Phone
(970) 385-6969
Fax
(970) 247-7810
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Anne P Jackson
Title
Administrative Director
Phone
(970) 385-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CO Primary

Addresses

Primary practice location

1600 Florida Rd
Durango, CO 81301-6836

Mailing address

1600 Florida Rd
Durango, CO 81301-6836
Phone (970) 385-6969

Other identifiers 1

IdentifierTypeStateIssuer
37026OtherCOBLUE CROSS BLUE SHIELD

Other names 1

  • Durango Sports Club Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1600 Florida Rd
Durango, CO 81301
Phone (970) 385-6969

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1386728285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FLORIDA RD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016836",
            "telephone_number": "970-385-6969",
            "fax_number": "970-247-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FLORIDA RD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016836",
            "telephone_number": "970-385-6969",
            "fax_number": "970-247-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANGO SPORTS CLUB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "970-385-6969"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37026",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durango Sports Club Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 21, 2007; 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.