Colleen Rynn, PT, DPT, SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

320 Beard Creek Rd
Edwards, CO 81632-6433

Phone

(970) 569-7770

NPI assigned

Mar 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Cruz Medical Clinic, Inc

  dba Santa Cruz Medical Clinic

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1588775308
  NPD (past)

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1730320458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 SEABRIGHT AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BEARD CREEK RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326433",
            "telephone_number": "970-569-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNN",
        "first_name": "COLLEEN",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT35450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Ross, M.S.W.
• RSC Aurora, PLLC (Retina Specialists of Colorado)
• Joshua Steven Rusk, M.D.
• Courtney Elizabeth Russell, PSYD, BCBA
• Ryan G Zastrow, DDS, PLLC
• Samaritan Center of the Rockies
• Barry Ira Sandler, DO
• Kristina Sappenfield
• Sara J. Manwiller, Inc (Jointworx Physical Therapy)
• Sarah Frances Schmidt, MS, OTR/L, CNS

• Physical Therapist in Edwards, CO
• Providers in Edwards, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.