PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC (NPI# 1770892085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770892085 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC |
| Practice Address |
2244 E Harmony Rd Ste 110 Fort Collins CO 80528-3412 |
| Practice Telephone | 9702261117 |
| Practice Fax Number | 9702260251 |
| Mailing Telephone | 9702261117 |
| Mailing Fax Number | 9702260251 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | DR. MICHAEL WAYNE FARRELL (CLINIC DIRECTOR) |
| Authorized Official Telephone | 9702261117 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHR-5953 | CO | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHR-5887 | CO | Chiropractic Providers |
| N | 208D00000X | General Practice | 49380 | CO | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
990425 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP990032 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2244 E HARMONY RD STE 110 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225155047 | April L Cardwell | Chiropractor | 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528-3412 | 2007-03-25 |
| 1104396498 | Elise J Booth | Nurse Practitioner | 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528-3422 | 2018-11-28 |
| 1336649789 | Integrated Rehab Group, Inc | Chiropractor | 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528-3422 | 2018-02-12 |
| 1649782111 | Melanie D Zimmermann | Nurse Practitioner | 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528 | 2017-10-24 |
| 1821518861 | Stephanie Lillibridge | Nurse Practitioner | 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528-3422 | 2017-06-21 |
| 1700273083 | Integrated Medical Group | Nurse Practitioner | 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528-3422 | 2015-04-23 |
| 1548658974 | Bryce Lee Bisching | Chiropractor | 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528-3422 | 2015-01-08 |
| 1215137351 | Michael Wayne Farrell | Chiropractor | 2244 E Harmony Rd Ste 110, Fort Collins, CO 80528-3412 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140004 | Laurie Matson | Nurse Practitioner | 2945 Spring Harvest Ln, Fort Collins, CO 80528-3074 | 2020-10-06 |
| 1598378846 | Lauren Abigail Dieterman | Nurse Practitioner | 6208 Fall Harvest Way, Fort Collins, CO 80528-7242 | 2020-08-26 |
| 1699385773 | Carl Everett White | Nurse Practitioner | 1101 Oakridge Dr Unit B, Fort Collins, CO 80525-5536 | 2020-08-04 |
| 1790303873 | Angela Axmann Grabinger | Nurse Practitioner | 617 W Myrtle St, Fort Collins, CO 80521-3633 | 2020-07-06 |
| 1750917431 | Regina Thompson Loveley | Nurse Practitioner | 1951 Mackinac St, Fort Collins, CO 80524-3680 | 2020-03-13 |
| 1730714056 | Alba Cristina Riley | Nurse Practitioner | 627 Parker St, Fort Collins, CO 80525-1025 | 2020-03-06 |
| 1619500667 | Melissa Lynn Klos | Nurse Practitioner | 927 Saddlebrook Ln, Fort Collins, CO 80525-6966 | 2020-02-18 |
| 1851921050 | Robbie Jill Fendley | Nurse Practitioner | 2121 E Harmony Rd Unit 310, Fort Collins, CO 80528-3403 | 2020-01-16 |
| 1033757703 | Kelli J Rickett | Nurse Practitioner | 543 S Taft Hill Rd, Fort Collins, CO 80521-3238 | 2019-12-12 |
| 1689158057 | Rachel Ann Mclean | Nurse Practitioner | 6709 Autumn Ridge Dr Unit 1, Fort Collins, CO 80525-6996 | 2018-09-20 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
Please comment or provide details below to improve the information on PHYSICAL MEDICINE CENTER OF THE ROCKIES, PLLC.
| 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.