COLORADO SPORTS CHIROPRACTIC (NPI# 1396255568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396255568 |
| Entity Type | Organization |
| Organization Name | COLORADO SPORTS CHIROPRACTIC |
| Practice Address |
1440 28th St Ste 2 Boulder CO 80303 |
| Mailing Address |
1440 28th St Ste 2 Boulder CO 80303-1030 |
| Practice Telephone | 3037369343 |
| Practice Fax Number | 8448725595 |
| Mailing Telephone | 3037369343 |
| Mailing Fax Number | 8448725595 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | DR. JOHN MICHAEL MINEN (OWNER) |
| Authorized Official Telephone | 3037369343 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHR.0007584 | CO | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1440 28th St Ste 2, Boulder, CO 803031030 | 3037369343 | 8448725595 |
| 2299 Pearl St Ste 105, Boulder, CO 803024669 | 3037369343 | 8556679565 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Sports Chiropractic | 1440 28th Street, Suite 2, Boulder, CO 80303 |
| Street Address |
1440 28TH ST STE 2 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023768 | Mitchell Schroeder LLC | Clinic/Center | 1440 28th St Ste 2, Boulder, CO 80303-1030 | 2020-11-02 |
| 1770123689 | Casey Campbell | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303-1030 | 2020-01-08 |
| 1538721238 | Colorado Sports Performance Therapy | Clinic/Center | 1440 28th St Ste 2, Boulder, CO 80303-1030 | 2019-07-02 |
| 1366956187 | Sarah Ceschin | Physical Therapist | 1440 28th St Ste 2, Boulder, CO 80303-1030 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| 1093055253 | Darin Rachel Pyatt | Counselor | 1530 55th Street, Suite 121, Boulder, CO 80303 | 2013-02-26 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626088 | John Michael Minen | Chiropractor | 2299 Pearl St Ste 105, Boulder, CO 80302-4669 | 2016-01-13 |
| 1831206770 | Boulder Sport and Spine Pllc | Chiropractor | 3400 Table Mesa Dr Ste 201, Boulder, CO 80305-5850 | 2006-08-24 |
| 1427411362 | Elevation Health and Performance Pllc | Chiropractor | 2760 29th St, #2b, Boulder, CO 80301-1214 | 2016-03-29 |
| 1376925909 | Alyx Brown | Chiropractor | 2760 29th St, 2b, Boulder, CO 80301-1214 | 2015-06-19 |
| 1306182407 | Zandi Chiropractic, LLC | Chiropractor | 3400 Table Mesa Dr, Suite 201, Boulder, CO 80305-5869 | 2012-12-17 |
| 1316153026 | Kevin Francis Reichlin | Chiropractor | 2439 Broadway St, Boulder, CO 80304-4108 | 2007-05-16 |
| 1851339733 | Suzanne M Williamson | Chiropractor | 3445 Penrose Pl, Suite 140, Boulder, CO 80301-1878 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523752 | Grant M Smith | Chiropractor | 4161 S Verbena St, Denver, CO 80237-1747 | 2019-05-14 |
| 1124587308 | Devyn Christian | Chiropractor | 6850 W 116th Ave Ste A, Broomfield, CO 80020-0414 | 2019-03-18 |
| 1164996690 | James Westover | Chiropractor | 6161 W 44th Ave Ste 100, Wheat Ridge, CO 80033-4764 | 2019-01-17 |
| 1629550389 | Oakley Almberg | Chiropractor | 1415 Park Ave W, Denver, CO 80205-2103 | 2018-08-29 |
| 1528570280 | Core Mountain Chiropractic Clinic | Chiropractor | 13982 W Bowles Ave Ste 102, Littleton, CO 80127-1444 | 2017-11-02 |
| 1043762636 | Action Spine & Sports Medicine | Chiropractor | 2209 Larimer St, Denver, CO 80205-2094 | 2016-10-29 |
| 1407229701 | Anthony Paul Gurule Jr. | Chiropractor | 1255 Cimarron Dr, Ste 201, Lafayette, CO 80026-1283 | 2015-11-09 |
| 1043635790 | Holy Cross Chiropractic | Chiropractor | 376 Pine Street, Minturn, CO 81645 | 2014-03-04 |
| 1790100949 | Turner Chiropractic, Inc. | Chiropractor | 4617 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2937 | 2014-02-25 |
| 1346671179 | Ryan Lystad | Chiropractor | 1361 S Broadway, Denver, CO 80210-2204 | 2013-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.