Individual provider Active NPI

Rebecca Lily Rosenblum, DPT

  • Physical Therapist
  • Evergreen, CO
National Provider Identifier
1891520391
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19911 Issued in CO
Practice address
1262 Bergen Pkwy Unit E10
Evergreen, CO 80439-9546
Phone
(303) 674-7889
Fax
(303) 674-8117
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19911 CO Primary

Addresses

Primary practice location

1262 Bergen Pkwy Unit E10
Evergreen, CO 80439-9546

Mailing address

1262 Bergen Pkwy Unit E10
Evergreen, CO 80439-9546
Phone (303) 674-7889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918004783 CO Practitioner - Physical Therapist in Private Practice 3072054972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
George Washington University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1262 Bergen Pkwy Unit
E10 Rocky Mountain Spine and Sport PT
Evergreen, CO 80439-9546
Phone (303) 674-7889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Sep 6, 2024 Accepting new patients
Panorama Orthopedics and Spine Center, PC CurrentSince Sep 6, 2024 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients

Locations

1262 Bergen Pkwy
Unit E10
Evergreen, CO 80439
Phone (303) 674-7889

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1891520391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BERGEN PKWY UNIT E10",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399546",
            "telephone_number": "303-674-7889",
            "fax_number": "303-674-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BERGEN PKWY UNIT E10",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399546",
            "telephone_number": "303-674-7889",
            "fax_number": "303-674-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "REBECCA",
        "middle_name": "LILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.