Physical Medicine of the Rockies LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PHYSICAL MEDICINE OF THE ROCKIES LLC

Practice address

13111 E Briarwood Ave Ste 100
Centennial, CO 80112-3925

Phone

(719) 465-0069

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Scott J Primack, DO

Title

President

Phone

(719) 457-6001

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1477188274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 GRANT ST STE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294347",
            "telephone_number": "719-465-0069",
            "fax_number": "720-930-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123925",
            "telephone_number": "719-465-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 S Carefree Cir",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "CO Springs",
            "state": "CO",
            "postal_code": "80917",
            "country_code": "US",
            "telephone_number": "719-547-6001",
            "fax_number": "720-930-4252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9025 Grant St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294347",
            "country_code": "US",
            "telephone_number": "719-465-0069",
            "fax_number": "720-930-4252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF THE ROCKIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "PRIMACK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-457-6001",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binh Phan, PTA
• Brittni Phillips, M.S CCC-SLP
• Cristina Phillips
• Michelle Marie Phillips, P.T.
• Shannon Phillips
• Physical Therapy Specialists, P.C.
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.
• Craig Anthony Piacentino, OD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.