NPIMap

Organization Active NPI

Steamboat Spine and Sports Inc.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Steamboat Springs, CO
National Provider Identifier
1760543490
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
3430 Issued in CO
Legal business name
STEAMBOAT SPINE AND SPORTS INC.
Practice address
1560 Pine Grove Rd Ste B
Steamboat Springs, CO 80487
Phone
(970) 879-7031
Fax
(970) 879-4928
NPI assigned
Dec 13, 2006
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Finn Burnett GerstellNPI 1598702839
Title
President
Phone
(970) 879-7031

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
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 3430 CO Primary

Addresses

Primary practice location

1560 Pine Grove Rd Ste B
Steamboat Springs, CO 80487

Mailing address

1560 Pine Grove Rd Ste B
Steamboat Springs, CO 80487-8006
Phone (970) 879-7031

Other practice location 1

385 Anglers Dr
Suite D
Steamboat Springs, CO 80487
Phone (970) 879-7031

Other names 1

  • Stephanie Loomis PT Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000199 CO Part B Supplier - Clinic/Group Practice 1850471624 Receives reassigned benefits from 6 practitioners
Practice locations: Steamboat Springs, CO

National Provider Directory

National Provider Directory

Locations

1169 Hilltop Pkwy
Unit 202B
Steamboat Springs, CO 80487
Phone (970) 879-7031

1560 Pine Grove Rd
Ste B
Steamboat Springs, CO 80487
Phone (970) 879-4558

2851 Riverside Plz
Ste 240
Steamboat Springs, CO 80487
Phone (970) 879-7031

Practitioners & affiliated clinicians

Practitioners 9

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1760543490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 PINE GROVE RD STE B",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878006",
            "telephone_number": "970-879-7031",
            "fax_number": "970-879-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 PINE GROVE RD STE B",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-879-7031",
            "fax_number": "970-879-4928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Anglers Dr",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "80487",
            "country_code": "US",
            "telephone_number": "970-879-7031",
            "fax_number": "970-879-4928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEAMBOAT SPINE AND SPORTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "GERSTELL",
        "authorized_official_first_name": "FINN",
        "authorized_official_middle_name": "BURNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-879-7031"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Loomis PT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.