Organization Active NPI

Redrock Physical Medicine & Rehabiliation PC

Doing business as Ellen Price DO PC

  • Rehabilitation Practitioner
  • Fruita, CO
National Provider Identifier
1922207133
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
30888 Issued in CO
Legal business name
REDROCK PHYSICAL MEDICINE & REHABILIATION PC
Doing business as
Ellen Price DO PC
Practice address
551 Kokopelli Blvd Unit J
Fruita, CO 81521-6305
Phone
(970) 858-2585
Fax
(970) 858-2555
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Lori Triplett
Title
Office Manager
Phone
(970) 858-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X 30888 CO Primary

Addresses

Primary practice location

551 Kokopelli Blvd Unit J
Fruita, CO 81521-6305

Mailing address

551 Kokopelli Blvd Unit J
Fruita, CO 81521-6305
Phone (970) 858-2585

Other identifiers 1

IdentifierTypeStateIssuer
C284908OtherMEDICARE ID

Other names 1

  • ELLEN PRICE DO PC Doing business as

National Provider Directory

National Provider Directory

Locations

551 Kokopelli Blvd
Unit J
Fruita, CO 81521
Phone (970) 241-1503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1922207133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD UNIT J",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-858-2585",
            "fax_number": "970-858-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD UNIT J",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-858-2585",
            "fax_number": "970-858-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDROCK PHYSICAL MEDICINE & REHABILIATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-858-2565"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CO",
            "license": "30888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "C284908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELLEN PRICE DO PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruita, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.