ROARING FORK REHAB & PERFORMANCE LLC NPI 1184574733

NPI Information

  • NPI: 1184574733
  • Provider Name: ROARING FORK REHAB & PERFORMANCE LLC
  • Classification: Physical Therapist - 2251S0007X
  • Specialization: Sports
  • Entity Type: Organization
  • Address: 100 MIDLAND AVE UNIT 250
    GLENWOOD SPRINGS, CO
    ZIP 81601
  • Phone: (970) 945-4440

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NPI Details

ROARING FORK REHAB & PERFORMANCE LLC is a sports physical therapist in Glenwood Springs, CO. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. ROARING FORK REHAB & PERFORMANCE LLC NPI is 1184574733. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MIDLAND AVE UNIT 250
GLENWOOD SPRINGS, CO
ZIP 81601-808
Phone: (970) 945-4440

The provider's authorized official is Dreiling Jack Green .
The authorized official title is Owner/physical Therapist and has the following contact phone number (316) 734-0984.

The enumeration date for this NPI number is 2/2/2026 and was last updated on 2/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251S0007XPhysical TherapistSportsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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