Active NPI
Colorado Health & Rehab LLC
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1780289405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- COLORADO HEALTH & REHAB LLC
- Practice address
- 6005 Delmonico Dr Ste 130
Colorado Springs, CO 80919-2265 - Phone
- (719) 599-7401
- Fax
- (719) 599-8223
- NPI assigned
- Dec 1, 2020
- Organization subpart
- Yes
- Parent organization
- COLORADO HEALTH & REHAB LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blaine Stimac, MSPT
- Title
- Managing Member
- Phone
- (406) 756-1128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6005 Delmonico Dr Ste 130
Colorado Springs, CO 80919-2265
Mailing address
PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134
Other names 1
- Strive Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Colorado Health Rehab LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336542125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1306557061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606780800000",
"number": "1780289405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5718",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599035718",
"telephone_number": "406-756-0134",
"fax_number": "406-300-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 DELMONICO DR STE 130",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192265",
"telephone_number": "719-599-7401",
"fax_number": "719-599-8223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO HEALTH & REHAB LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COLORADO HEALTH & REHAB LLC",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A",
"authorized_official_last_name": "STIMAC",
"authorized_official_first_name": "BLAINE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "406-756-1128",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Strive Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.