Organization Active NPI

Comprehensive Physical Rehab Specialists

  • Rehabilitation Chiropractor
  • Golden, CO
National Provider Identifier
1417364233
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
7081 Issued in CO
Legal business name
COMPREHENSIVE PHYSICAL REHAB SPECIALISTS
Practice address
400 Indiana St
Suite 320
Golden, CO 80401-5027
Phone
(720) 536-0580
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Garret Rock, DC
Title
Owner
Phone
(720) 893-0860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 7081 CO Primary

Addresses

Primary practice location

400 Indiana St
Suite 320
Golden, CO 80401-5027

Mailing address

400 Indiana St
Suite 320
Golden, CO 80401-5027
Phone (720) 536-0580

National Provider Directory

National Provider Directory

Locations

400 Indiana St
Ste 320
Golden, CO 80401
Phone (303) 469-3182

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1417364233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "720-536-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "720-536-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PHYSICAL REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "GARRET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-893-0860",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "7081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.