Organization Active NPI

Restore Osteo of Colorado LLC

  • Internal Medicine Physician
  • Thornton, CO
National Provider Identifier
1568059160
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RESTORE OSTEO OF COLORADO LLC
Doing business as
Spruce Health Group
Practice address
9195 Grant St Ste 305
Thornton, CO 80229-4386
Phone
(303) 216-2661
Fax
(303) 985-3917
NPI assigned
Dec 29, 2020
Organization subpart
Yes
Parent organization
RESTORE OSTEO OF COLORADO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Shawn Barrieau
Title
Ceo
Phone
(970) 729-2727

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Orthotic FitterGroup: 193200000X MULTI-SPECIALTY GROUP 225000000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

9195 Grant St Ste 305
Thornton, CO 80229-4386

Mailing address

9195 Grant St Ste 305
Thornton, CO 80229-4386
Phone (303) 216-2661

Other identifiers 1

IdentifierTypeStateIssuer
9000200683MedicaidCO

Other names 1

  • Spruce Health Group Doing business as

National Provider Directory

National Provider Directory
Part of
Restore Osteo of Colorado LLC

Locations

400 Indiana St
Ste 280
Lakewood, CO 80401
Phone (303) 216-2661

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1568059160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 305",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294386",
            "telephone_number": "303-216-2661",
            "fax_number": "303-985-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 305",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294386",
            "telephone_number": "303-216-2661",
            "fax_number": "303-985-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE OSTEO OF COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE OSTEO OF COLORADO, LLC",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BARRIEAU",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-729-2727"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200683",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruce Health Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spruce Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.