Active NPI
Redrock Physical Medicine & Rehabiliation PC
Doing business as Ellen Price DO PC
- Rehabilitation Practitioner
- Fruita, CO
National Provider Identifier
1922207133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 30888
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C284908 | Other | MEDICARE ID |
Other names 1
- ELLEN PRICE DO PC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Fruita, CO
- NPI 1982684247
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.