Organization Active NPI

Rocky Mountain Orthopedics Inc

Doing business as Rocky Mountain Spine Institute

  • Orthopedic Physical Therapist
  • Espanola, NM
National Provider Identifier
1780630491
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
42755 Issued in NM
Legal business name
ROCKY MOUNTAIN ORTHOPEDICS INC
Doing business as
Rocky Mountain Spine Institute
Practice address
518 W Pueblo Dr
Espanola, NM 87532-2509
Phone
(505) 747-3333
Fax
(505) 747-7113
NPI assigned
May 25, 2006
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Ms. Veronica Lynch
Title
Administrator
Phone
(505) 984-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 42755 NM Primary

Addresses

Primary practice location

518 W Pueblo Dr
Espanola, NM 87532-2509

Mailing address

435 Saint Michaels Dr
Santa Fe, NM 87505-7672
Phone (505) 984-8881

Other identifiers 2

IdentifierTypeStateIssuer
NM00NA54OtherBLUE CROSS
Q7703MedicaidNM

Other names 1

  • Rocky Mountain Spine Institute Doing business as

National Provider Directory

National Provider Directory

Locations

518 W Pueblo Dr
Espanola, NM 87532
Phone (505) 747-3333

435 Saint Michaels Dr
Ste A202
Santa Fe, NM 87505
Phone (505) 983-5200

435 Saint Michaels Dr
Ste B201
Santa Fe, NM 87505
Phone (505) 984-8881

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1780630491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057672",
            "telephone_number": "505-984-8881",
            "fax_number": "505-984-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W PUEBLO DR",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322509",
            "telephone_number": "505-747-3333",
            "fax_number": "505-747-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-984-8881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "42755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NM00NA54",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q7703",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.