Organization Active NPI

Physical and Regenerative Medicine of Colorado

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1659915825
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSICAL AND REGENERATIVE MEDICINE OF COLORADO
Practice address
950 17TH St Ste 200
Denver, CO 80202-2803
Phone
(303) 292-9992
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Rachel Anders
Title
Executive Director
Phone
(833) 734-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

950 17TH St Ste 200
Denver, CO 80202-2803

Mailing address

950 17TH St Ste 200
Denver, CO 80202-2803
Phone (303) 292-9992

Other identifiers 5

IdentifierTypeStateIssuer
1124043401OtherCO111N00000X - CHIROPRACTOR
1245754738OtherCO363LF0000X - NURSE PRACTITIONER
1154470805OtherCO111N00000X - CHIROPRACTOR
1588917579OtherCO363LF0000X - NURSE PRACTITIONER
1982999207OtherCO111N00000X - CHIROPRACTOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1659915825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 17TH ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022803",
            "telephone_number": "303-292-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 17TH ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022803",
            "telephone_number": "303-292-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL AND REGENERATIVE MEDICINE OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "833-734-3626"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "111N00000X - CHIROPRACTOR",
            "identifier": "1124043401",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "363LF0000X - NURSE PRACTITIONER",
            "identifier": "1245754738",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "111N00000X - CHIROPRACTOR",
            "identifier": "1154470805",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "363LF0000X - NURSE PRACTITIONER",
            "identifier": "1588917579",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "111N00000X - CHIROPRACTOR",
            "identifier": "1982999207",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.