NPIMap

Organization Active NPI

Diamond Peak Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Loveland, CO
National Provider Identifier
1851419436
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
6285 Issued in CO
Legal business name
DIAMOND PEAK PHYSICAL THERAPY, PC
Practice address
1542 Taurus CT
Loveland, CO 80537-3280
Phone
(970) 593-1442
Fax
(970) 667-1740
NPI assigned
Mar 26, 2007
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Rodrigo Gil Moreno de Mora, DPTNPI 1710059936
Title
President
Phone
(970) 593-1442

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6285 CO Primary

Addresses

Primary practice location

1542 Taurus CT
Loveland, CO 80537-3280

Mailing address

1542 Taurus CT
Loveland, CO 80537-3280
Phone (970) 593-1442

Other identifiers 1

IdentifierTypeStateIssuer
64454720MedicaidCO

National Provider Directory

National Provider Directory

Locations

1542 Taurus Ct
Loveland, CO 80537
Phone (970) 593-1442

Practitioners & affiliated clinicians

Practitioners 4

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1851419436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TAURUS CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373280",
            "telephone_number": "970-593-1442",
            "fax_number": "970-667-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TAURUS CT",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373280",
            "telephone_number": "970-593-1442",
            "fax_number": "970-667-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND PEAK PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "GIL MORENO DE MORA",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-593-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "6285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64454720",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.