NPIMap

Organization Active NPI

Epic Health & Rehab LLC

Doing business as Epic Physical Therapy

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1801576046
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EPIC HEALTH & REHAB LLC
Doing business as
Epic Physical Therapy
Practice address
9088 Ridgeline Blvd Ste 106
Highlands Ranch, CO 80129-2380
Phone
(720) 458-0522
Fax
(720) 536-5365
NPI assigned
Jul 21, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EPIC HEALTH & REHAB LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Blaine Stimac
Title
Managing Member
Phone
(406) 756-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9088 Ridgeline Blvd Ste 106
Highlands Ranch, CO 80129-2380

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Other names 1

  • Epic Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200625000768 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476975111 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Highlands Ranch, CO; Greenwood Village, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Epic Health Rehab LLC2 organizations share this tax ID, including this one
Part of
Epic Health Rehab LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9088 Ridgeline Blvd
Ste 106
Highlands Ranch, CO 80129
Phone (720) 344-0139

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.

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1801576046",
    "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": "9088 RIDGELINE BLVD STE 106",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292380",
            "telephone_number": "720-458-0522",
            "fax_number": "720-536-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC HEALTH & REHAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPIC HEALTH & REHAB LLC",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.