NPIMap

Organization Active NPI

Physical Medicine Center of the Rockies, PLLC

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1770892085
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP990032 Issued in CO
Legal business name
PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC
Practice address
2244 E Harmony Rd Ste 110
Fort Collins, CO 80528-3412
Phone
(970) 226-1117
Fax
(970) 226-0251
NPI assigned
Oct 4, 2010
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Michael Wayne Farrell, D.C.NPI 1215137351
Title
Clinic Director
Phone
(970) 226-1117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 990425 CO
Family Nurse Practitioner 363LF0000X NP990032 CO Primary
General Practice Physician 208D00000X 49380 CO
Rehabilitation Chiropractor 111NR0400X CHR-5953 CO
Rehabilitation Chiropractor 111NR0400X CHR-5887 CO

Addresses

Primary practice location

2244 E Harmony Rd Ste 110
Fort Collins, CO 80528-3412

Mailing address

2244 E Harmony Rd Ste 110
Fort Collins, CO 80528-3412
Phone (970) 226-1117

National Provider Directory

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, 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": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1770892085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 E HARMONY RD STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283412",
            "telephone_number": "970-226-1117",
            "fax_number": "970-226-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 E HARMONY RD STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283412",
            "telephone_number": "970-226-1117",
            "fax_number": "970-226-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "970-226-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "990425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP990032",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "49380",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "CHR-5953",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "CHR-5887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 28, 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.