INTEGRATED SPORTS & SPINE LLC (NPI# 1013200021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013200021 |
| Entity Type | Organization |
| Organization Name | INTEGRATED SPORTS & SPINE LLC |
| Practice Address |
380 Empire Rd Ste 120 Lafayette CO 80026-2677 |
| Mailing Address |
380 Empire Rd Ste 200 Lafayette CO 80026-2677 |
| Practice Telephone | 3039267360 |
| Practice Fax Number | 3039267359 |
| Mailing Telephone | 3039267360 |
| Mailing Fax Number | 3039267359 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2012-01-19 |
| Authorized Official Name | DR. MICHAEL B TRACY (PRESIDENT) |
| Authorized Official Telephone | 3039267360 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
380 EMPIRE RD STE 120 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003314576 | Devin Pinaroc | Nurse Practitioner | 380 Empire Rd Ste 120, Lafayette, CO 80026-2677 | 2018-01-30 |
| 1356620785 | Integrated Opiate Compliance Corp | Clinical Medical Laboratory | 380 Empire Rd Ste 120, Lafayette, CO 80026-2677 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184196784 | Evan Phillips | Physical Medicine & Rehabilitation | 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508-5783 | 2018-12-19 |
| 1144568320 | Rees Medical Services, LLC | Physical Medicine & Rehabilitation | 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503-2638 | 2013-01-23 |
| 1881953388 | Benjamin Joseph Baronne | Physical Medicine & Rehabilitation | 108 Rue Louis Xiv, Lafayette, LA 70508-6229 | 2012-05-04 |
| 1144538455 | Carolyn Y. Smith | Physical Medicine & Rehabilitation | 850 N Pierce St, Suite C, Lafayette, LA 70501-2848 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336615970 | Alpine Health & Wellness | Physical Medicine & Rehabilitation | 3955 E Exposition Ave Ste 505, Denver, CO 80209-5030 | 2018-10-22 |
| 1689189714 | Primus Integrated Medicine, LLC | Physical Medicine & Rehabilitation | 16830 Northgate Dr Unit 130, Parker, CO 80134-5778 | 2017-12-12 |
| 1639610389 | Comprehensive Rehabilitation & Pain Specialists, Pllc. | Physical Medicine & Rehabilitation | 9351 Grant St Ste 490, Thornton, CO 80229-4365 | 2017-03-14 |
| 1962860528 | Colorado Health Providers LLC | Physical Medicine & Rehabilitation | 7251 W 20th St # Blvdgn, Greeley, CO 80634-4625 | 2016-02-10 |
| 1215306246 | A Hall Enterprises, LLC | Physical Medicine & Rehabilitation | 9695 S Yosemite St Ste 373, Lone Tree, CO 80124-2888 | 2015-09-21 |
| 1831572759 | The Peak Physical Medicine | Physical Medicine & Rehabilitation | 2955 Professional Pl Ste 201, Colorado Springs, CO 80904-8140 | 2015-07-09 |
| 1689935371 | Jason P Markle | Physical Medicine & Rehabilitation | 403 Summit Blvd Unit 201, Broomfield, CO 80021-8253 | 2012-05-30 |
| 1356626295 | Mountain Medical Injury and Pain Professionals LLC | Physical Medicine & Rehabilitation | 5534 Salvia Ct, Golden, CO 80403-1118 | 2011-10-11 |
| 1922310119 | Amar Patel | Physical Medicine & Rehabilitation | 9195 Grant St Ste 300, Thornton, CO 80229-4386 | 2010-07-05 |
| 1205963873 | Steven Roger Defosses | Physical Medicine & Rehabilitation | 192 E Cheyenne Mnt Blvd, Colorado Springs, CO 80906 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTEGRATED SPORTS & SPINE LLC.
| 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.