Active NPI
Aspen Leaf Sports Medicine and Rehabilitation PC
- Physical Medicine & Rehabilitation Physician
- Boulder, CO
National Provider Identifier
1528157526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ASPEN LEAF SPORTS MEDICINE AND REHABILITATION PC
- Practice address
- 4861 Earle Cir
Boulder, CO 80301-4122 - Phone
- (303) 349-5269
- Fax
- (720) 479-8320
- NPI assigned
- Oct 11, 2006
- Last updated
- Mar 10, 2008
- 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
- Mindy Gehrs
- Title
- Owner
- Phone
- (303) 349-5269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
4861 Earle Cir
Boulder, CO 80301-4122
Mailing address
4861 Earle Cir
Boulder, CO 80301-4122
Phone (303) 349-5269
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Longmont, CO
- NPI 1770550899
-
- Surgical Physician Assistant
- Denver, CO
- NPI 1942219779
-
- Physician Assistant
- Rapid City, SD
- NPI 1619919503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1528157526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4861 EARLE CIR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803014122",
"telephone_number": "303-349-5269",
"fax_number": "720-479-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4861 EARLE CIR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803014122",
"telephone_number": "303-349-5269",
"fax_number": "720-479-8320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPEN LEAF SPORTS MEDICINE AND REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "GEHRS",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-349-5269"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.