Organization Active NPI

Structura Body Therapies, LLC

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
National Provider Identifier
1700423043
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
STRUCTURA BODY THERAPIES, LLC
Practice address
6160 Tutt Blvd Ste 102
Colorado Springs, CO 80923-3503
Phone
(801) 897-8711
Fax
(385) 333-7202
NPI assigned
Dec 5, 2019
Organization subpart
Yes
Parent organization
STRUCTURA INSTITUTE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Nancy E PrinceNPI 1255006946
Title
Coo
Phone
(801) 897-8711

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

6160 Tutt Blvd Ste 102
Colorado Springs, CO 80923-3503

Mailing address

6160 Tutt Blvd Ste 102
Colorado Springs, CO 80923-3503
Phone (801) 897-8711

National Provider Directory

National Provider Directory
Part of
Structura Body Therapies LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1700423043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233503",
            "telephone_number": "801-897-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233503",
            "telephone_number": "801-897-8711",
            "fax_number": "385-333-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURA BODY THERAPIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STRUCTURA INSTITUTE HOLDINGS, LLC",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-897-8711"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "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 Dec 9, 2019; 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.