AVALANCHE PHYSICAL THERAPY – NPI #1124362918
Clinic/Center

AVALANCHE PHYSICAL THERAPY is an AHC clinic located in BRECKENRIDGE, CO. NPPES has assigned the NPI number 1124362918 to AVALANCHE PHYSICAL THERAPY on November 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVALANCHE PHYSICAL THERAPY” is a dba name, the actual legal business name for this organization is REHAB COLORADO LLC. The primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation

The NPI profile was previously updated about 10 years ago on May 05, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVALANCHE PHYSICAL THERAPY below.

NPI Profile for
REHAB COLORADO LLC

NPI Number
1124362918
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REHAB COLORADO LLC
Doing Business As (dba): AVALANCHE PHYSICAL THERAPY
Primary location
555 S PARK AVE PLAZA 2
BRECKENRIDGE, CO 80424
Phone: (970) 401-0175 Fax: (970) 453-7972
Mailing address
4714 GETTYSBURG RD
MECHANICSBURG, PA 17055-4325
Phone: (717) 975-4510 Fax:
Organization Subpart
No
Authorized Official
MICHAEL TARVIN
VICE PRESIDENT
Phone: (717) 972-1132
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)		 CO

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.