Dee Prock, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6724 Issued in CO

Practice address

1280 N Mildred Rd
Ste 2
Cortez, CO 81321-2212

Phone

(970) 564-0311

Fax

(970) 564-0313

NPI assigned

Jun 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mac Wyman MD PC

  • Orthopaedic Surgery Physician
  • Cortez, CO
  • NPI 1790971679
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445040000000",
    "number": "1780680322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N MILDRED RD",
            "address_2": "STE 2",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212212",
            "telephone_number": "970-564-0311",
            "fax_number": "970-564-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 N MILDRED RD",
            "address_2": "STE 2",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212212",
            "telephone_number": "970-564-0311",
            "fax_number": "970-564-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCK",
        "first_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51088835",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Behavioral Services of the Four Corners LLC
• Positive Behavioral Services of the Four Corners LLC
• Precision Medical Labs, LLC
• Premere Rehab LLC
• Nicholas E Preston, NP
• Laura Pultorak, PHARMD
• Jared S Purcell, RD
• Blair W Pyle, MD
• William G Rainer Jr., MD
• Anthony Raley, APRN, CNP

• Physical Therapist in Cortez, CO
• Providers in Cortez, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; 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.