Organization Active NPI

Rocky Mountain Spine and Sport, LLC

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1518172683
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROCKY MOUNTAIN SPINE AND SPORT, LLC
Practice address
4284 Trail Boss Dr
#130
Castle Rock, CO 80104-7521
Phone
(303) 663-8086
Fax
(303) 663-8289
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mrs. Valerie Jane Musick
Title
Accounts and Operations
Phone
(303) 792-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4284 Trail Boss Dr
#130
Castle Rock, CO 80104-7521

Mailing address

4284 Trail Boss Dr
#130
Castle Rock, CO 80104-7521
Phone (303) 663-8086

Other identifiers 1

IdentifierTypeStateIssuer
065OtherCOPHYSICAL THERAPY CLINIC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1518172683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 TRAIL BOSS DR",
            "address_2": "#130",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047521",
            "telephone_number": "303-663-8086",
            "fax_number": "303-663-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 TRAIL BOSS DR",
            "address_2": "#130",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047521",
            "telephone_number": "303-663-8086",
            "fax_number": "303-663-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN SPINE AND SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "MUSICK",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ACCOUNTS AND OPERATIONS",
        "authorized_official_telephone_number": "303-792-7377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY CLINIC",
            "identifier": "065",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.