Physicor Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7314 Issued in CO

Legal business name

PHYSICOR REHABILITATION LLC

Practice address

1660 S Albion St
Suite 1001
Denver, CO 80222-4046

Phone

(303) 884-3118

Fax

(303) 862-8221

NPI assigned

Jun 21, 2006

Last updated

Feb 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Osvaldo Baldessari, P.T.NPI 1578509121

Title

Proprietor

Phone

(303) 884-3118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Osvaldo Baldessari, P.T.

  • Physical Therapist
  • Denver, CO
  • NPI 1578509121
  Medicare reassignment NPD Authorized official
• Erika Eden Jacob, P.T.

  • Physical Therapist
  • Denver, CO
  • NPI 1598717092
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1912943564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40189",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802040189",
            "telephone_number": "303-884-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S ALBION ST",
            "address_2": "SUITE 1001",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224046",
            "telephone_number": "303-884-3118",
            "fax_number": "303-862-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICOR REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "BALDESSARI",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "303-884-3118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physio Pro, Inc.
• Physio Yoga and Wellness PC
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.

• Physical Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.