Aspen Sports Medicine Institute, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ASPEN SPORTS MEDICINE INSTITUTE, LLC

Practice address

1450 Crystal Lake Rd
Sports Medicine
Aspen, CO 81611-2255

Phone

(970) 925-8940

Fax

(970) 925-9543

NPI assigned

Sep 11, 2014

Last updated

Sep 11, 2014By 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

Michael J Fox

Title

Ceo

Phone

(970) 925-8900

Specialties & licenses 2

Addresses

Other names 1

• Aspen Club Sports Medicine Institute Other name

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1437550225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CRYSTAL LAKE RD",
            "address_2": "SPORTS MEDICINE",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112255",
            "telephone_number": "970-925-8940",
            "fax_number": "970-925-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CRYSTAL LAKE RD",
            "address_2": "SPORTS MEDICINE",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112255",
            "telephone_number": "970-925-8940",
            "fax_number": "970-925-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN SPORTS MEDICINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-925-8900"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Club Sports Medicine Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Aspen, CO
• Providers in Aspen, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.