NPIMap

Organization Active NPI

Eastern Rio Blanco County Health Service District

Doing business as Colorado Advanced Orthopedics Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Craig, CO
National Provider Identifier
1740872340
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT
Doing business as
Colorado Advanced Orthopedics Physical Therapy
Practice address
651 Yampa Ave
Craig, CO 81625-2515
Phone
(970) 693-6070
NPI assigned
Feb 5, 2021
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Elizabeth L Sellers
Title
Ceo
Phone
(970) 878-9260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

651 Yampa Ave
Craig, CO 81625-2515

Mailing address

100 Pioneers Medical Center Dr
Meeker, CO 81641-3181
Phone (970) 878-9273

Other names 1

  • Colorado Advanced Orthopedics Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000258 CO Part B Supplier - Clinic/Group Practice 0345249751 Receives reassigned benefits from 59 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Craig, CO; Meeker, CO

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eastern Rio Blanco County Health Service District10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

360 E Victory Way
Craig, CO 81625

Practitioners & affiliated clinicians

Practitioners 8

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": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1740872340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIONEERS MEDICAL CENTER DR",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816413181",
            "telephone_number": "970-878-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 YAMPA AVE",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252515",
            "telephone_number": "970-693-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-878-9260"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Advanced Orthopedics Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.