Medically Based Fitness PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MEDICALLY BASED FITNESS PC

Practice address

1690 30TH St
Boulder, CO 80301-0000

Phone

(303) 447-2873

Fax

(303) 447-2741

NPI assigned

Aug 21, 2006

Last updated

Nov 5, 2012By 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

Sander JH Orent, M.D.

Title

Owner/Medical Director

Phone

(303) 447-2873

Specialties & licenses 2

Addresses

Other names 1

• Arbor Medical Services Former legal business name

Locations

Practitioners 4

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.

• Kimberly Michelle Juge, PT

  • Physical Therapist
  • Longmont, CO
  • NPI 1104844653
  NPD (past)
• Lori Miller, MD

  • Emergency Medicine Physician
  • Arvada, CO
  • NPI 1588692511
  NPD (past)
• Lucinda Holmes Parham, MSPT

  • Physical Therapist
  • Boulder, CO
  • NPI 1871511311
  NPD (past)
• Mark Tapani Zuck, MPT

  • Physical Therapist
  • Boulder, CO
  • NPI 1073553350
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1922114388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803010000",
            "telephone_number": "303-447-2873",
            "fax_number": "303-447-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803010000",
            "telephone_number": "303-447-2873",
            "fax_number": "303-447-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALLY BASED FITNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "ORENT",
        "authorized_official_first_name": "SANDER",
        "authorized_official_middle_name": "JH",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-447-2873",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Medical Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elyse R Meaney, LMT
• Eric Rosen Meckel
• Med-Trans Corporation
• Emily E Medernach, PHARM.D.
• Medical BLD Pharmacy Inc (Alpine Professional Pharmacy)
• Katheryn Medina, LPCC
• Amie Lynn Meditz, M.D.
• Josh Medley, MA, NCC, LPC
• Tasha Medley, MA, MED, NCC
• Vitale Grace Meertens, FNP

• Physical Therapy Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapy Clinic/Center in Colorado

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