Healthcare Provider Details
I. General information
NPI: 1932080439
Provider Name (Legal Business Name): NORTHERN COLORADO ORTHO- NEURO CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3553 CLYDESDALE PKWY
LOVELAND CO
80538-8959
US
IV. Provider business mailing address
3553 CLYDESDALE PKWY
LOVELAND CO
80538-8959
US
V. Phone/Fax
- Phone: 720-726-4523
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NP0017X |
| Taxonomy | Pediatric Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANCISCA
RAYOS
Title or Position: OFFICE MANGER
Credential:
Phone: 303-741-0990