Rocky Mountain Anaplastology Inc

Primary specialty

AnaplastologistTaxonomy code 229N00000X

Legal business name

ROCKY MOUNTAIN ANAPLASTOLOGY INC

Doing business as

Prosthetic Illusions

Practice address

3405 S Yarrow St Unit C
Lakewood, CO 80227-4901

Phone

(303) 973-8482

Fax

(303) 973-8468

NPI assigned

Jun 7, 2017

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Y LilloNPI 1003014036

Title

President

Phone

(303) 973-8482

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Prosthetic Illusions Doing business as

Tax ID family

Barbara Y Lillo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rocky Mountain Anaplastology Inc

  dba Prosthetic Illusions Inc

  • Anaplastologist
  • Lakewood, CO
  • NPI 1760453146
  NPD tax ID

Locations

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.

• Barbara Y Lillo, CCA

  • Anaplastologist
  • Lakewood, CO
  • NPI 1003014036
  NPD Authorized official

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1679002356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 230",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281861",
            "telephone_number": "303-973-8482",
            "fax_number": "303-973-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 S YARROW ST UNIT C",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802274901",
            "telephone_number": "303-973-8482",
            "fax_number": "303-973-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN ANAPLASTOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "LILLO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-973-8482"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "229N00000X",
            "taxonomy_group": "",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08835233",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosthetic Illusions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prosthetic Illusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Thomas Robinson, OD
• Colin A Robison, OD
• Dafne Selem Robles
• Clare Roca
• Traci Linn Rock, L.C.S.W.
• Rocky Mountain Anaplastology Inc (Prosthetic Illusions Inc)
• Rocky Mountain Cancer Centers, LLP (Rock Mountain Cancer Centers-RMCC Lakewood)
• Rocky Mountain Cancer Centers, LLP
• Rocky Mountain Clinics LLC
• Rocky Mountain Clinics, LLC

• Anaplastologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Anaplastologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.