Organization · Type 2 NPI

Portercare Adventist Health System

Sports Medicine (Family Medicine) Physician · Castle Rock, CO

NPI number 1235828294 Active

Practice location

4350 Limelight Ave Ste 100
Castle Rock, CO 80109-8034

Call (720) 330-1390 Map

Fax (720) 995-5206

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	None listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

9 other providers at this address

NPI record

NPI: 1235828294
Entity type: Organization (Type 2)
Issued: May 4, 2023
Last updated: Nov 11, 2024
Status: Active

Other names

<unavail>
Adventhealth Medical Group Sports Medicine at Castle Rock · doing business as
Healthfit Sports Medicine Castle Rock · other name

Authorized official

Mr. Jason Tacha
COO
(303) 304-7752

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1235828294

Portercare Adventist Health System's National Provider Identifier is 1235828294, issued on May 4, 2023. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Castle Rock, CO. The record was last updated on Nov 11, 2024.