NPIMap

Organization Active NPI

Front Range Therapies Castle Rock

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1639100449
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FRONT RANGE THERAPIES CASTLE ROCK
Practice address
1025 South Perry Street
#101
Castle Rock, CO 80104
Phone
(303) 688-5885
Fax
(303) 688-5903
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Timothy Bernacki, PT
Title
Owner
Phone
(303) 688-5885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X CO Primary

Addresses

Primary practice location

1025 South Perry Street
#101
Castle Rock, CO 80104

Mailing address

1025 South Perry Street
#101
Castle Rock, CO 80104
Phone (303) 688-5885

Other identifiers 3

IdentifierTypeStateIssuer
611202500OtherCODEPT OF LABOR
001 3059OtherCOROCKY MOUNTAIN HEALTHPLAN
FR675117OtherCOBCBS/ANTHEM

National Provider Directory

National Provider Directory

Locations

1025 S Perry St
Ste 101
Castle Rock, CO 80104
Phone (303) 688-5885

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1639100449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 SOUTH PERRY STREET",
            "address_2": "#101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "303-688-5885",
            "fax_number": "303-688-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SOUTH PERRY STREET",
            "address_2": "#101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "303-688-5885",
            "fax_number": "303-688-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE THERAPIES CASTLE ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "BERNACKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-688-5885",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "611202500",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTHPLAN",
            "identifier": "001 3059",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/ANTHEM",
            "identifier": "FR675117",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.