NPIMap

Organization Active NPI

Axis Sports Medicine, LLC

  • Physical Therapist
  • Avon, CO
National Provider Identifier
1952652984
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AXIS SPORTS MEDICINE, LLC
Practice address
142 E Beaver Creek Place
Unit 109 Annex BLD
Avon, CO 81620
Phone
(970) 790-9600
Fax
(970) 790-9601
NPI assigned
Oct 1, 2012
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Amy Freeman
Title
Authorized Official
Phone
(541) 728-6531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

142 E Beaver Creek Place
Unit 109 Annex BLD
Avon, CO 81620

Mailing address

PO Box 5584
Frisco, CO 80443-5584
Phone (970) 790-9600

Other practice location 1

720 Summit Blvd Unit 101
Frisco, CO 80443-5881
Phone (970) 368-6908

Other practice location 2

1281 Blue River Pkwy
Unit A
Silverthorne, CA 80498
Phone (970) 368-6054

Other practice location 3

1143 Capitol St
Eagle, CO 81631-5000
Phone (970) 328-4566

Other practice location 4

122 S Main St.
Unit D
Breckenridge, CO 80424
Phone (970) 453-3990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121107000390 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214188895 Receives reassigned benefits from 24 practitioners
5 other NPIs on this enrollment
Practice locations: Avon, CO; Silverthorne, CO; Frisco, CO; Breckenridge, CO; Eagle, CO

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Axis Sports Medicine5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1952652984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5584",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435584",
            "telephone_number": "970-790-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E BEAVER CREEK PLACE",
            "address_2": "UNIT 109 ANNEX BLD",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-790-9600",
            "fax_number": "970-790-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Summit Blvd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435881",
            "country_code": "US",
            "telephone_number": "970-368-6908",
            "fax_number": "970-368-6910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1281 Blue River Pkwy",
            "address_2": "Unit A",
            "address_purpose": "LOCATION",
            "city": "Silverthorne",
            "state": "CA",
            "postal_code": "80498",
            "country_code": "US",
            "telephone_number": "970-368-6054",
            "fax_number": "970-368-6919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1143 Capitol St",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816315000",
            "country_code": "US",
            "telephone_number": "970-328-4566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 S Main St.",
            "address_2": "Unit D",
            "address_purpose": "LOCATION",
            "city": "Breckenridge",
            "state": "CO",
            "postal_code": "80424",
            "country_code": "US",
            "telephone_number": "970-453-3990",
            "fax_number": "970-453-2365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AXIS SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "541-728-6531"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.