NPIMap

Organization Active NPI

Reform Health & Rehab, LLC

Doing business as NB Physical Therapy

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1922642859
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REFORM HEALTH & REHAB, LLC
Doing business as
NB Physical Therapy
Practice address
2861 W 120TH Ave Ste 120
Westminster, CO 80234-2985
Phone
(303) 469-6980
Fax
(303) 469-6984
NPI assigned
Nov 4, 2019
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
REFORM HEALTH & REHAB, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Blaine Stimac, MSPT
Title
Ceo, Managing Member
Phone
(406) 756-1128

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

2861 W 120TH Ave Ste 120
Westminster, CO 80234-2985

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Other names 1

  • NB Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106000507 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002240744 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Golden, CO; Westminster, CO; Boulder, CO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Reform Health Rehab LLC4 organizations share this tax ID, including this one
Part of
Reform Health Rehab LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2861 W 120th Ave
Ste 120
Westminster, CO 80234
Phone (303) 469-6980

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1922642859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 W 120TH AVE STE 120",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342985",
            "telephone_number": "303-469-6980",
            "fax_number": "303-469-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM HEALTH & REHAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REFORM HEALTH & REHAB, LLC",
        "enumeration_date": "2019-11-04",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "STIMAC",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "CEO, MANAGING MEMBER",
        "authorized_official_telephone_number": "406-756-1128",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NB Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NB Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.