NPIMap

Organization Active NPI

Mile High Sports and Rehabilitation Medicine, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Greenwood Village, CO
National Provider Identifier
1740962109
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
MILE HIGH SPORTS AND REHABILITATION MEDICINE, PC
Practice address
7447 E Berry Ave Ste 150
Greenwood Village, CO 80111-2142
Phone
(303) 331-6744
Fax
(303) 331-6839
NPI assigned
Aug 4, 2023
Organization subpart
Yes
Parent organization
NAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Cesar Carrera
Title
Practice Manager
Phone
(303) 331-6744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

7447 E Berry Ave Ste 150
Greenwood Village, CO 80111-2142

Mailing address

2490 W 26TH Ave Ste 10a
Denver, CO 80211-5300
Phone (303) 331-6744

National Provider Directory

National Provider Directory
Tax ID family
Mile High Sports and Rehab4 organizations share this tax ID, including this one
Part of
Mile High Sports and Rehab

Other organizations with this tax ID 3

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

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": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1740962109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE STE 10A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115300",
            "telephone_number": "303-331-6744",
            "fax_number": "303-331-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE STE 150",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112142",
            "telephone_number": "303-331-6744",
            "fax_number": "303-331-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH SPORTS AND REHABILITATION MEDICINE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NA",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "CARRERA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-331-6744"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.