Prohab Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROHAB PHYSICAL THERAPY PC

Practice address

253 E 6TH Ave
Durango, CO 81301-5731

Phone

(970) 799-1868

Fax

(970) 259-9367

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Amy M Gomb

Title

Administrator

Phone

(970) 259-9366

Specialties & licenses 1

Addresses

Other names 1

• Proactive Health PC Doing business as

Practitioners 1

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

• Joseph A Shuksteris, MSPT, EP

  • Physical Therapist
  • Durango, CO
  • NPI 1164507174
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1487087540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 E 6TH AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015731",
            "telephone_number": "970-799-1868",
            "fax_number": "970-259-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 E 6TH AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015731",
            "telephone_number": "970-799-1868",
            "fax_number": "970-259-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHAB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "GOMB",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-259-9366"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Health PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra G Price, RN
• Kimberly Priebe, M.D.
• Emily Prigmore, LSW
• Amanda L Prince
• John D Prince, PA
• Taylor Pronozuk, ND
• Prosthetic Development and Research, Inc.
• Lisa Ann Proulx
• Sarah Puckett
• Tiffany Purcell

• Physical Therapy Clinic/Center in Durango, CO
• Providers in Durango, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.