REFORM HEALTH & REHAB, LLC (NPI# 1013551852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013551852 |
| Entity Type | Organization |
| Organization Name | REFORM HEALTH & REHAB, LLC |
| Other Organization Name | NORTH BOULDER PHYSICAL THERAPY |
| Practice Address |
2750 Broadway St Boulder CO 80304-3573 |
| Mailing Address |
Po Box 5718 Kalispell MT 59903-5718 |
| Practice Telephone | 3034403034 |
| Practice Fax Number | 3034021665 |
| Mailing Telephone | 4067560134 |
| Mailing Fax Number | 4063092579 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | BLAINE STIMAC (CEO, MANAGING MEMBER) |
| Authorized Official Telephone | 4067561128 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | Y |
| Parent Organization Name | REFORM HEALTH & REHAB, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Boulder Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298311 | Reform Health & Rehab, LLC | Clinic/Center | 80 Health Park Dr Ste 200, Louisville, CO 80027-4686 | 2019-11-04 |
| 1922642859 | Reform Health & Rehab, LLC | Clinic/Center | 2861 W 120th Ave Ste 120, Westminster, CO 80234-2985 | 2019-11-04 |
| 1942844873 | Reform Health & Rehab, LLC | Clinic/Center | 2801 Youngfield St Ste 390, Golden, CO 80401-2265 | 2019-11-04 |
| 1295384667 | Reform Health & Rehab, LLC | Clinic/Center | 3000 Center Green Dr Ste 110, Boulder, CO 80301-2364 | 2019-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Reform Health & Rehab, LLC | 690 N. Meridian Rd., Ste. 201, Kalispell, MT 59901 |
| Street Address |
2750 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537078 | Emma E.k. Mccarty | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-06-09 |
| 1528675121 | Jennifer Turf | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1174130702 | Dave Milton | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1437778057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2020-04-14 |
| 1477101608 | Boulder Community Health | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3586 | 2019-08-30 |
| 1144878208 | Boulder Community Health | Clinical Medical Laboratory | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-08-30 |
| 1114579950 | Aaron M Shaver | Physical Therapist | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-07-11 |
| 1962973099 | Alena Mecomber | Social Worker | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-12-16 |
| 1396227864 | Kelly Korte | Nurse Practitioner | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-08-31 |
| 1497138895 | North Boulder Physical Therapy | Physical Therapist | 2750 Broadway St, Boulder, CO 80304-3573 | 2015-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1174156939 | Boulder Medical Center, P.C. | Clinic/Center | 4745 Arapahoe Ave Ste 200, Boulder, CO 80303-1082 | 2020-02-19 |
| 1699244566 | Boulder Cognitive and Linguistic Center Inc | Clinic/Center | 5723 Arapahoe Ave Ste 1b, Boulder, CO 80303-1381 | 2018-11-20 |
| 1306820923 | Boulder Medical Center, P.C. | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-12-06 |
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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.