Active NPI
Prism Physiatry, LLC
- Physical Medicine & Rehabilitation Physician
- Englewood, CO
National Provider Identifier
1518319599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DR.0056996
- Legal business name
- PRISM PHYSIATRY, LLC
- Practice address
- 501 E Hampden Ave
Englewood, CO 80113-2702 - Phone
- (301) 366-1030
- NPI assigned
- Jul 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Corinne Locke, MD
- Title
- Physician
- Phone
- (301) 366-1030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | DR.0056996 | CO | Primary |
Addresses
Primary practice location
501 E Hampden Ave
Englewood, CO 80113-2702
Mailing address
304 Mountainview Dr
Charlotte, NC 28270-2710
Phone (301) 366-1030
National Provider Directory
National Provider DirectoryLocations
3464 S Willow St
#929
Denver, CO 80231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467331200000",
"number": "1518319599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MOUNTAINVIEW DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702710",
"telephone_number": "301-366-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132702",
"telephone_number": "301-366-1030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISM PHYSIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-01",
"last_updated": "2016-07-01",
"status": "A",
"authorized_official_last_name": "LOCKE",
"authorized_official_first_name": "CORINNE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "301-366-1030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "DR.0056996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.