Active NPI
Colorado Body Wisdom
- Clinic/Center
- Boulder, CO
National Provider Identifier
1558737973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MT.0010270
- Legal business name
- COLORADO BODY WISDOM
- Practice address
- 1800 30TH St
Suite 309
Boulder, CO 80301-1088 - Phone
- (720) 352-6544
- NPI assigned
- Aug 19, 2015
- 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
- Rachel Scott
- Title
- Owner
- Phone
- (720) 352-6544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0001739 | CO | |
| Clinic/Center | 261Q00000X | 0014865 | CO | |
| Clinic/Center | 261Q00000X | MT.0010270 | CO | Primary |
Addresses
Primary practice location
1800 30TH St
Suite 309
Boulder, CO 80301-1088
Mailing address
1800 30TH St
Suite 309
Boulder, CO 80301-1088
National Provider Directory
National Provider DirectoryLocations
1800 30th St
Ste 309
Boulder, CO 80301
Phone (303) 502-7071
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Boulder, CO
- NPI 1174994875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439942400000",
"number": "1558737973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 30TH ST",
"address_2": "SUITE 309",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 30TH ST",
"address_2": "SUITE 309",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011088",
"telephone_number": "720-352-6544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO BODY WISDOM",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-352-6544"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CO",
"license": "0001739",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CO",
"license": "0014865",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CO",
"license": "MT.0010270",
"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 Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.