NPIMap

Organization Active NPI

Stacy Labar Therapy, LLC

Doing business as Rocky Mountain Kid Therapy

  • Rehabilitation Clinic/Center
  • Northglenn, CO
National Provider Identifier
1396411609
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
STACY LABAR THERAPY, LLC
Doing business as
Rocky Mountain Kid Therapy
Practice address
11154 Huron St Ste 101
Northglenn, CO 80234-2329
Phone
(303) 886-5348
NPI assigned
Aug 17, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Stacy LabarNPI 1467622811
Title
President
Phone
(303) 886-5348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

11154 Huron St Ste 101
Northglenn, CO 80234-2329

Mailing address

11154 Huron St Ste 101
Northglenn, CO 80234-2329
Phone (303) 886-5348

Other identifiers 1

IdentifierTypeStateIssuer
89832337MedicaidCO

Other names 1

  • Rocky Mountain Kid Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Kid Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1396411609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11154 HURON ST STE 101",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342329",
            "telephone_number": "303-886-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11154 HURON ST STE 101",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342329",
            "telephone_number": "303-886-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY LABAR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "LABAR",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-886-5348"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89832337",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Kid Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocky Mountain Kid Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.