NPIMap

Organization Active NPI

Center for Orthopedic Rehabilitation & Exercise LLC

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1720151616
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTER FOR ORTHOPEDIC REHABILITATION & EXERCISE LLC
Practice address
Unit a
140 East Boardwalk Drive
Fort Collins, CO 80525-3153
Phone
(970) 223-8293
Fax
(970) 223-8219
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Amy Michelle Stahl, MS PT
Title
Owner Manager
Phone
(970) 223-8293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

Unit a
140 East Boardwalk Drive
Fort Collins, CO 80525-3153

Mailing address

Unit a
140 East Boardwalk Drive
Fort Collins, CO 80525-3153
Phone (970) 223-8293

Other names 1

  • CORE PT Doing business as

National Provider Directory

National Provider Directory

Locations

140 Boardwalk Dr
Unit A
Fort Collins, CO 80525
Phone (970) 223-8293

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1720151616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIT A",
            "address_2": "140 EAST BOARDWALK DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-223-8293",
            "fax_number": "970-223-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIT A",
            "address_2": "140 EAST BOARDWALK DRIVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-223-8293",
            "fax_number": "970-223-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOPEDIC REHABILITATION & EXERCISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "970-223-8293",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.