Healthcare Provider Details

I. General information

NPI: 1457860462
Provider Name (Legal Business Name): VAIL-SUMMIT ORTHOPAEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 07/13/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 PEAK ONE DR STE 190
FRISCO CO
80443-5868
US

IV. Provider business mailing address

PO BOX 2507
GRAND JUNCTION CO
81502-2507
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-0888
  • Fax:
Mailing address:
  • Phone: 970-241-0202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARI THOMASON
Title or Position: CFO
Credential:
Phone: 970-241-0202