IMPACT SPORTS MEDICINE PC
NPI 1306927496
Clinic/Center - Physical Therapy in Broomfield, CO

NPI Status: Active since October 17, 2006

Contact Information

3303 W 144TH AVE
SUITE 105
BROOMFIELD, CO
ZIP 80023
Phone: (303) 446-2200
Fax: (303) 446-2201

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  • Organization
  • Clinic/Center
  • Physical Therapy

About IMPACT SPORTS MEDICINE PC

This page provides the complete NPI Profile along with additional information for Impact Sports Medicine Pc, a provider established in Broomfield, Colorado operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1306927496 assigned on October 2006. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Keith Eric Christianssen Pt Atc Mtc (Owner)

NPI
1306927496
Provider Name
IMPACT SPORTS MEDICINE PC
Entity Type
Organization
Location Address
3303 W 144TH AVE SUITE 105 BROOMFIELD, CO 80023
Location Phone
(303) 446-2200
Location Fax
(303) 446-2201
Mailing Address
PO BOX 270217 LOUISVILLE, CO 80027
Mailing Phone
(303) 446-2200
Mailing Fax
(303) 446-2201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2006
Last Update Date
07-29-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KEITH ERIC CHRISTIANSSEN PT ATC MTC

Authorized Official Title
OWNER
Authorized Official Phone
(303) 446-2200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C806499MEDICARE PIN (08)CO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306927496
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
230618214418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 8 + 2 + 1 + 4 + 4 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1306927496 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609290394RYAN K. WARHURST, DC, PC
Organization
Chiropractor3303 W 144TH AVE SUITE 104
BROOMFIELD, CO 80023
(303) 945-4987
1255733374WESTERN INFECTIOUS DISEASE INFUSION CENTER, INC.
Organization
Internal Medicine (Infectious Disease)3303 W 144TH AVE SUITE 103
BROOMFIELD, CO 80023
(303) 425-9245
1225430325WESTERN INFECTIOUS DISEASE CONSULTANTS, P.C.
Organization
Internal Medicine (Infectious Disease)3303 W 144TH AVE SUITE 103
BROOMFIELD, CO 80023
(303) 425-9245
1902255466MRS. GINA LYNN MCCLAFLIN M.S. CCC-SLP
Individual
Speech-Language Pathologist3303 W 144TH AVE SUITE 207
BROOMFIELD, CO 80023
(303) 284-6569
1417364332CHILDREN MATTER LLC
Organization
Occupational Therapist3303 W 144TH AVE SUITE 207
BROOMFIELD, CO 80023
(303) 284-6569
1164551347DR. RYAN WARHURST D.C.
Individual
Chiropractor3303 W 144TH AVE SUITE 104
BROOMFIELD, CO 80023
(303) 548-0050
1942534755LINDEMAN CHIROPRACTIC PC
Organization
Chiropractor3303 W 144TH AVE SUITE 200
WESTMINSTER, CO 80023
(303) 469-2300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306927496, enumerated in the NPI registry as an "organization" on October 17, 2006

The provider is located at 3303 W 144th Ave Suite 105 Broomfield, Co 80023 and the phone number is (303) 446-2200

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.