Summit Eagle Spine and Rehabilitation PC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

33679 Issued in CO

Legal business name

SUMMIT EAGLE SPINE AND REHABILITATION PC

Practice address

360 Peakone Drive
Suite 390
Frisco, CO 80443

Phone

(970) 668-9471

Fax

(970) 668-9473

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Julie W Colliton, M.D.

Title

Owner

Phone

(970) 668-9471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1871651638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5089",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435089",
            "telephone_number": "970-668-9471",
            "fax_number": "970-668-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAKONE DRIVE",
            "address_2": "SUITE 390",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-668-9471",
            "fax_number": "970-668-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EAGLE SPINE AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "COLLITON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-668-9471",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CO",
            "license": "33679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Community Care Clinic, Inc.
• Summit Community Care Clinic, Inc.
• Summit Community Care Clinic, Inc.
• Summit County Government
• Summit County Public Health
• Summit Fire & EMS Fire Protection District
• Summit Internal Medicine, PLLC
• Summit Orthopedics PLLC
• Summit Orthopedics PLLC
• Summit Orthopedics, PLLC

• Rehabilitation Practitioner in Frisco, CO
• Providers in Frisco, CO by specialty
• Rehabilitation Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.