Premier Back Rehabilitation Center, PC

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

Legal business name

PREMIER BACK REHABILITATION CENTER, PC

Practice address

1515 Fortino Blvd Ste 150
Ste 150
Pueblo, CO 81008-1976

Phone

(719) 544-1161

Fax

(719) 544-1128

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jere Gene Sutton, D.O.

Title

Ceo Owner

Phone

(719) 544-1161

Specialties & licenses 1

Addresses

Practitioners 1

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

• Earl Ross Poteet, LCSW

  • Clinical Social Worker
  • Pueblo West, CO
  • NPI 1386943280
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1598829327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 FORTINO BLVD STE 150",
            "address_2": "STE 150",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081976",
            "telephone_number": "719-544-1161",
            "fax_number": "719-544-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 FORTINO BLVD STE 150",
            "address_2": "STE 150",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081976",
            "telephone_number": "719-544-1161",
            "fax_number": "719-544-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BACK REHABILITATION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JERE",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "719-544-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Russell Pratt, PA-C
• Robert A Pratt, DC
• Praxair Healthcare Services, Inc.
• Noah Palmer Prebish
• Danielle Predovich, RN
• Premier Home Health, Inc
• Premium Direct Care Providers Inc.
• Prescription Shop LLC
• Prescription Shop LLC
• Blair Christian Presti, MD

• Orthopaedic Trauma Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Orthopaedic Trauma Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.