Functional Rehab and Movement Specialists LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10999 Issued in CO

Legal business name

FUNCTIONAL REHAB AND MOVEMENT SPECIALISTS LLC

Practice address

3996 Red Cedar Dr
Suite 6-a
Highlands Ranch, CO 80126-8065

Phone

(720) 408-0321

Fax

(720) 408-0320

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

William Gregoire, PT, DPT

Title

Physical Therapist / Owner

Phone

(720) 408-0321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1659821643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 RED CEDAR DR",
            "address_2": "SUITE 6-A",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268065",
            "telephone_number": "720-408-0321",
            "fax_number": "720-408-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3996 RED CEDAR DR",
            "address_2": "SUITE 6-A",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268065",
            "telephone_number": "720-408-0321",
            "fax_number": "720-408-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL REHAB AND MOVEMENT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "GREGOIRE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "720-408-0321",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Highlands Ranch, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.