Active NPI
Proactive Solutions,Inc.
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1912243833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8876
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8876 | CO | Primary |
| Physical Therapist | 225100000X | 7620PT | AZ | |
| Physical Therapist | 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 DirectoryNPI 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.