Neck & Back Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1526 Issued in CO

Legal business name

NECK & BACK REHABILITATION

Practice address

901 Park St # B
Castle Rock, CO 80109-1527

Phone

(303) 688-8822

Fax

(303) 688-8830

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Wally Ray Unruh, M.D.NPI 1598837817

Title

Owner

Phone

(303) 688-8822

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wally Ray Unruh, M.D.

  • Chiropractor
  • Castle Rock, CO
  • NPI 1598837817
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851463103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801040965",
            "telephone_number": "303-688-8822",
            "fax_number": "303-688-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PARK ST # B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801091527",
            "telephone_number": "303-688-8822",
            "fax_number": "303-688-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK & BACK REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNRUH",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-688-8822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "1526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.