Organization Active NPI

Proactive Solutions,Inc.

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1912243833
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8876 Issued in CO
Legal business name
PROACTIVE SOLUTIONS,INC.
Practice address
1441 Fieldwood CT
Colorado Springs, CO 80921-5635
Phone
(719) 310-1741
Fax
(719) 533-8188
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Mr. Rudy Josef Haberzettl, MSPT, CEES
Title
Ceo/Owner
Phone
(719) 310-1741

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 8876 CO Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 7620PT AZ
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 25790 FL

Addresses

Primary practice location

1441 Fieldwood CT
Colorado Springs, CO 80921-5635

Mailing address

1441 Fieldwood CT
Colorado Springs, CO 80921-5635
Phone (719) 310-1741

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1912243833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 FIELDWOOD CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809215635",
            "telephone_number": "719-310-1741",
            "fax_number": "719-533-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FIELDWOOD CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809215635",
            "telephone_number": "719-310-1741",
            "fax_number": "719-533-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE SOLUTIONS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "HABERZETTL",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "JOSEF",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "719-310-1741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT, CEES"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8876",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7620PT",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "25790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.