Healthcare Provider Details

I. General information

NPI: 1366366940
Provider Name (Legal Business Name): ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OCR AT CSU CANVAS STADIUM 751 W PITKIN ST
FORT COLLINS CO
80523-0001
US

IV. Provider business mailing address

CSU CANVAS STADIUM 751 W PITKIN ST
FORT COLLINS CO
80523-0001
US

V. Phone/Fax

Practice location:
  • Phone: 970-491-7267
  • Fax:
Mailing address:
  • Phone: 970-491-7267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN HOFFMAN
Title or Position: DIRECTOR OF CENTRAL SERVICES
Credential:
Phone: 970-493-0112