Sports Recovery Center of the Rockies, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SPORTS RECOVERY CENTER OF THE ROCKIES, LLC

Practice address

4745 Boardwalk Dr
#C1
Fort Collins, CO 80525-3768

Phone

(970) 207-4066

Fax

(970) 225-1392

NPI assigned

Jul 7, 2014

Last updated

Jul 7, 2014By 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

Ms. Heidi Ford

Title

Billing Manager

Phone

(970) 207-4066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1699181008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR",
            "address_2": "#C1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253768",
            "telephone_number": "970-207-4066",
            "fax_number": "970-225-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR",
            "address_2": "#C1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253768",
            "telephone_number": "970-207-4066",
            "fax_number": "970-225-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS RECOVERY CENTER OF THE ROCKIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "970-207-4066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.