Healthcare Provider Details

I. General information

NPI: 1992653422
Provider Name (Legal Business Name): ROCKY MOUNTAIN GROUP THERAPY P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 S COLLEGE AVE UNIT 225
FORT COLLINS CO
80525-4196
US

IV. Provider business mailing address

3307 S COLLEGE AVE UNIT 225
FORT COLLINS CO
80525-4196
US

V. Phone/Fax

Practice location:
  • Phone: 785-215-0623
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CALEB AKERSTROM
Title or Position: ADMINISTRATOR
Credential:
Phone: 970-541-9911