Axis Sports Medicine, Llc

LBN: Axis Sports Medicine, Llc
Axis Sports Medicine, Llc is an health care organization with primary practice located at 105 Edwards Village Blvd Unit 201 , Edwards CO 81632-3211. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Axis Sports Medicine, Llc can be contacted via phone (970) 855-0492, or through Freeman, Amy via phone (970) 406-2559.

Contact Information

Primary practice address
105 Edwards Village Blvd Unit 201 Edwards CO 81632-3211
Phone: (970) 855-0492
Fax: (970) 855-0493
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Amy
Phone: (970) 406-2559

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1215695390
LBN Legal business name Axis Sports Medicine, Llc
DBA Doing business as
Authorized official Freeman, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2021
Last updated Dec 6th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215695390 NPPES
Colorado MEDICAID 35105127

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