Professional Sports Health LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7946 Issued in CO

Legal business name

PROFESSIONAL SPORTS HEALTH LLC

Practice address

6030 Greenwood Plaza Blvd Ste 110
Greenwood Village, CO 80111-4825

Phone

(303) 720-0603

Fax

(303) 770-4184

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Hyo KimNPI 1508921966

Title

Ceo

Phone

(303) 720-0603

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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.

• Hyo Kim

  • Physical Therapist
  • Centennial, CO
  • NPI 1508921966

  Single Specialty

  Medicare reassignment NPD Authorized official
• Jina Kim

  • Acupuncturist
  • Centennial, CO
  • NPI 1407607526
  NPD

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1609255983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 GREENWOOD PLAZA BLVD STE 110",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114825",
            "fax_number": "303-770-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 GREENWOOD PLAZA BLVD STE 110",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114825",
            "telephone_number": "303-720-0603",
            "fax_number": "303-770-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPORTS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-720-0603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "7946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Greenwood Village, CO
• Providers in Greenwood Village, 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 May 20, 2015; 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.