PHYSICAL MEDICINE CENTER OF THE ROCKIES PLLC NPI 1770892085

NPI Information

NPI: 1770892085
Provider Name: PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2244 E HARMONY RD STE 110
FORT COLLINS, CO
ZIP 80528
Phone: (970) 226-1117
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PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC is a family nurse practitioner in Fort Collins, CO. PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC NPI is 1770892085. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2244 E HARMONY RD STE 110
FORT COLLINS, CO
ZIP 80528-412
Phone: (970) 226-1117
Fax: (970) 226-0251

The provider's authorized official is Michael Wayne Farrell .
The authorized official title is Clinic Director and has the following contact phone number (970) 226-1117.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 11/28/2012.

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
1	111NR0400X	Chiropractor	Rehabilitation	CHR-5953	COLORADO	No
2	111NR0400X	Chiropractor	Rehabilitation	CHR-5887	COLORADO	No
3	208D00000X	General Practice		49380	COLORADO	No
4	363LF0000X	Nurse Practitioner	Family	990425	COLORADO	No
5	363LF0000X	Nurse Practitioner	Family	NP990032	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1225155047	MEDICARE PIN	COLORADO
2	1992739890	MEDICARE PIN	COLORADO
3	1194089425	MEDICARE PIN	COLORADO
4	1215137351	MEDICARE PIN	COLORADO
5	1033315213	MEDICARE PIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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