Colorado Orthopedic Rehabilitation Specialist, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6712 Issued in CO

Legal business name

COLORADO ORTHOPEDIC REHABILITATION SPECIALIST, LLC

Practice address

11325 N. Colorado Blvd
Thornton, CO 80233

Phone

(303) 457-2022

Fax

(303) 457-2320

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Gene Schoonveld, MPT, MTCNPI 1285857763

Title

President/Owner

Phone

(303) 457-2022

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Colorado Orthopedic Rehabilitation Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Colorado Orthopedic Rehabilitation Specialist, LLC

  • Physical Therapist
  • Thornton, CO
  • NPI 1174304968
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Gene Schoonveld, MPT,MTC

  • Physical Therapist
  • Thornton, CO
  • NPI 1285857763
  Medicare reassignment Care Compare group NPD Authorized official
• Alicia Marie Pfeiffer, DPT

  • Physical Therapist
  • Broomfield, CO
  • NPI 1962799122
  Medicare reassignment Care Compare group NPD
• Alexandra Shea Ferrier

  • Physical Therapist
  • Highlands Ranch, CO
  • NPI 1114538055
  Medicare reassignment NPD
• Taylor Lillian Tretheway, DPT

  • Physical Therapist
  • Thornton, CO
  • NPI 1972241206
  Medicare reassignment NPD
• Jordan Eisler, DPT

  • Physical Therapist
  • Arlington, VA
  • NPI 1649928037

  CO

  Medicare reassignment NPD
• Steven David Medberry, PT, DPT

  • Physical Therapist
  • Highlands Ranch, CO
  • NPI 1245688498
  NPD
• Jeffrey Allen Kautz, PT,ATC,CSCS

  • Physical Medicine & Rehabilitation Physician
  • Thornton, CO
  • NPI 1134342694
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1598801391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 N. COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-457-2022",
            "fax_number": "303-457-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 N. COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-457-2022",
            "fax_number": "303-457-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ORTHOPEDIC REHABILITATION SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHOONVELD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "303-457-2022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "6712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28606264",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7238042",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "605038800",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "SCSC6685",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colorado OB/GYN Partners 2, LLC
• Colorado OB/GYN Partners, PLLC
• Colorado OB/GYN Partners, PLLC
• Colorado Ocupational Medical Partners, Inc.
• Colorado Orthopedic Rehabilitation Specialist, LLC
• Colorado Pain Management &
• Colorado Pain Management & Anesthesia Consultants
• Colorado Physician Partners, PLLC
• Colorado Root Canal Specialist
• Colorado Sleep Company (Thornton Sleep Center)

• Physical Therapy Clinic/Center in Thornton, CO
• Providers in Thornton, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.