MEDICALLY BASED FITNESS PC (NPI# 1922114388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922114388 |
Entity Type | Organization |
Organization Name | MEDICALLY BASED FITNESS PC |
Other Organization Name | ARBOR MEDICAL SERVICES |
Practice Address |
1690 30th St Boulder CO 80301-0000 |
Practice Telephone | 3034472873 |
Practice Fax Number | 3034472741 |
Mailing Telephone | 3034472873 |
Mailing Fax Number | 3034472741 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2012-11-05 |
Authorized Official Name | SANDER JH ORENT (OWNER/MEDICAL DIRECTOR) |
Authorized Official Telephone | 3034472873 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Arbor Medical Services | Former Legal Business Name - Organization |
Street Address |
1690 30TH ST |
City | BOULDER |
State | CO |
Zip Code | 80301-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053807826 | American Current Care, P.a. | Clinic/Center | 1690 30th St, Boulder, CO 80301-1034 | 2018-07-05 |
1558857326 | Occupational Healh Centers of The Southwest, P.a. | Clinic/Center | 1690 30th St, Boulder, CO 80301-1034 | 2018-07-05 |
1538618970 | U.S. Healthworks Provider Network of Colorado, Inc. | Preventive Medicine | 1690 30th St, Boulder, CO 80301-1034 | 2016-09-27 |
1245784495 | Nelly Vitoria | Massage Therapist | 1690 30th St, Boulder, CO 80301-1034 | 2016-08-04 |
1407258726 | Carla Devenpeck | Physical Therapist | 1690 30th St, Boulder, CO 80301-1034 | 2014-09-17 |
1326294059 | Kelly Marie Kopper | Physical Therapist | 1690 30th St, Patient Accounting, Boulder, CO 80301-1034 | 2008-08-13 |
1326209875 | Deanna Kristen Koncar | Physical Therapist | 1690 30th St, Boulder, CO 80301-1034 | 2008-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
Find all providers in zip 80301 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808548 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 2706 28th St, Boulder, CO 80301-1222 | 2020-10-15 |
1669092219 | Olympian Pllc | Clinic/Center | 2755 Iris Ave Apt 8, Boulder, CO 80304-2440 | 2020-04-23 |
1407345705 | Karen Renee Hatami | Clinic/Center | 3480 Colorado Ave Apt D7, Boulder, CO 80303-1942 | 2018-05-02 |
1902207863 | Therapydia Colorado, Inc. | Clinic/Center | 1727 15th St, Suite 100, Boulder, CO 80302-6341 | 2014-09-10 |
1386721850 | Body Dynamics, Inc. | Clinic/Center | 2660 Canyon Blvd, Suite A-4, Boulder, CO 80302-6748 | 2006-11-01 |
1013940808 | Active Solutions Physical Therapy, P.C. | Clinic/Center | 4150 Darley Ave, Suite 8, Boulder, CO 80305-6557 | 2006-07-08 |
1164023768 | Mitchell Schroeder LLC | Clinic/Center | 1440 28th St Ste 2, Boulder, CO 80303-1030 | 2020-11-02 |
1295384667 | Reform Health & Rehab, LLC | Clinic/Center | 3000 Center Green Dr Ste 110, Boulder, CO 80301-2364 | 2019-09-09 |
1174179915 | Boulder Community Health | Clinic/Center | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2019-08-16 |
1538721238 | Colorado Sports Performance Therapy | Clinic/Center | 1440 28th St Ste 2, Boulder, CO 80303-1030 | 2019-07-02 |
Find all providers in BOULDER |
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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.