NPIMap

Organization Active NPI

Great Moves Inc

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1669401238
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GREAT MOVES INC
Practice address
1775 S 8TH St
Colorado Springs, CO 80905-1926
Phone
(719) 477-6870
Fax
(719) 477-1483
NPI assigned
Jul 3, 2006
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Jacki Koury, PTNPI 1770516502
Title
Owner
Phone
(719) 477-6870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1775 S 8TH St
Colorado Springs, CO 80905-1926

Mailing address

1775 S 8TH St
Colorado Springs, CO 80905-1926
Phone (719) 477-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001369 CO Part B Supplier - Clinic/Group Practice 5890754725 Receives reassigned benefits from 7 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1612 S 8th St
Colorado Springs, CO 80905
Phone (719) 477-6870

1775 S 8th St
Colorado Springs, CO 80905
Phone (719) 477-6870

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1669401238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051926",
            "telephone_number": "719-477-6870",
            "fax_number": "719-477-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051926",
            "telephone_number": "719-477-6870",
            "fax_number": "719-477-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MOVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-477-6870",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.