Active NPI
Muscle Restoration, Inc.
- Pain Medicine Physician
- Fort Collins, CO
National Provider Identifier
1669354817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- MUSCLE RESTORATION, INC.
- Practice address
- 4532 McMurry Ave Unit 204
Fort Collins, CO 80525-8022 - Phone
- (402) 363-1864
- NPI assigned
- Jul 21, 2025
- Last updated
- Jul 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonah Otte
- Title
- Operations Manager
- Phone
- (970) 449-9757
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
4532 McMurry Ave Unit 204
Fort Collins, CO 80525-8022
Mailing address
4532 McMurry Ave Unit 204
Fort Collins, CO 80525-8022
Phone (402) 363-1864
National Provider Directory
National Provider DirectoryLocations
4532 McMurry Ave
Unit 204
Fort Collins, CO 80525
Phone (402) 363-1864
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Acupuncturist
- Fort Collins, CO
- NPI 1851103238
-
- Massage Therapist
- Fort Collins, CO
- NPI 1962214551
-
- Massage Therapist
- Fort Collins, CO
- NPI 1851241152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753142400000",
"number": "1669354817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4532 MCMURRY AVE UNIT 204",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805258022",
"telephone_number": "402-363-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4532 MCMURRY AVE UNIT 204",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805258022",
"telephone_number": "402-363-1864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSCLE RESTORATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A",
"authorized_official_last_name": "OTTE",
"authorized_official_first_name": "JONAH",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "970-449-9757"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.