Rocky Mountain Transformational Recovery, LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

ROCKY MOUNTAIN TRANSFORMATIONAL RECOVERY, LLC

Practice address

1716 E Yampa St
Colorado Springs, CO 80909-3855

Phone

(719) 505-3467

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Mike Mattice

Title

Owner

Phone

(719) 505-3467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 7

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

• Sarah Ellen Biermann, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1518527209
  Medicare reassignment NPD
• Jennifer Leigh Graff, NP

  • Adult Health Nurse Practitioner
  • Arvada, CO
  • NPI 1558722264
  Medicare reassignment NPD
• Rachel Kellbach, NP

  • Acute Care Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1790357432
  Medicare reassignment NPD
• Alyssa Dianna Sieber, FNP

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1912681370
  Medicare reassignment NPD
• Amber Breanne Watson, MSN, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1043984917
  Medicare reassignment NPD
• Damien Bailey, APRN

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1043518087

  CO

  Medicare reassignment NPD
• Joseph Ramharack, M.D.

  • Hospitalist Physician
  • Denver, CO
  • NPI 1174878219
  NPD

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1891520060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 E YAMPA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 E YAMPA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093855",
            "telephone_number": "719-505-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN TRANSFORMATIONAL RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MATTICE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-505-3467"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Planned Parenthood, Inc.
• Rocky Mountain Recovery Homes Inc
• Rocky Mountain Reflection LLC
• Rocky Mountain Rehabilitation P.C.
• Rocky Mountain Sober Living LLC
• Rocky Mountain Urgent Care, LLC
• Rocky Mountain Vein Institute, PLLC
• Rocky Mountain Vein Institute, PLLC
• Rocky MTN Chiropractic & Sports Rehab PLLC
• Rocky Trails Counseling PLLC

• Addiction Medicine (Internal Medicine) Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Addiction Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.