Sports and Orthopedic Rehabilitation, PLLC

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

20602 Issued in CO

Legal business name

SPORTS AND ORTHOPEDIC REHABILITATION, PLLC

Practice address

2801 Youngfield St
Suite 150
Golden, CO 80401-2263

Phone

(303) 238-4277

Fax

(303) 238-4977

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Douglas E Hemler, MD

Title

Owner

Phone

(303) 238-4277

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1669695029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST",
            "address_2": "SUITE 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012263",
            "telephone_number": "303-238-4277",
            "fax_number": "303-238-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST",
            "address_2": "SUITE 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012263",
            "telephone_number": "303-238-4277",
            "fax_number": "303-238-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND ORTHOPEDIC REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "HEMLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-238-4277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CO",
            "license": "20602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - UNSPECIFIED",
            "identifier": "C805012",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob P. Sorum
• Southern Colorado Physical Medicine
• Darcy Sowards
• Megan B Ree Specht, M.A.
• Kathryn E. Spight, PA-C
• Stephen Spry
• Stephen Charles Stacey Jr., M.D.
• Sarah Lewis Stack, L.AC.
• Lauren Madison Stafford, PA-C
• Eric J Stahl, MD

• Pain Medicine (Psychiatry & Neurology) Physician in Golden, CO
• Providers in Golden, CO by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.