Organization Active NPI

Prism Physiatry, LLC

  • Physical Medicine & Rehabilitation Physician
  • Englewood, CO
National Provider Identifier
1518319599
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DR.0056996 Issued in CO
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

Updated by the provider on Jul 1, 2016

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.