NPIMap

Organization Active NPI

Panorama Orthopedics & Spine Center, PC

Doing business as Rocky Mountain Spine and Sport

  • Physical Therapy Clinic/Center
  • Evergreen, CO
National Provider Identifier
1689296899
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Doing business as
Rocky Mountain Spine and Sport
Practice address
1262 Bergen Pkwy Unit E10
Evergreen, CO 80439-9546
Phone
(303) 674-7889
NPI assigned
May 11, 2020
Last updated
May 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PANORAMA ORTHOPEDICS & SPINE CENTER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Mark J Conklin
Title
President
Phone
(303) 274-7321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1262 Bergen Pkwy Unit E10
Evergreen, CO 80439-9546

Mailing address

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541

Other names 1

  • Rocky Mountain Spine and Sport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Orthopaedic Clinic61 organizations share this tax ID, including this one
Part of
Lakewood Orthopaedic Clinic

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1689296899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BERGEN PKWY UNIT E10",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399546",
            "telephone_number": "303-674-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANORAMA ORTHOPEDICS & SPINE CENTER, PC",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-274-7321"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Spine and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.