SPINE WEST A PROFESSIONAL LLC
NPI 1427091206
Physical Medicine & Rehabilitation in Boulder, CO

Active since June 13, 2006
5387 MANHATTAN CIRCLE, SUITE 200, BOULDER, CO 80303(303) 494-7773 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2020, May 2, 2018 (2 updates tracked since 2018).

About Spine West A Professional Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE WEST A PROFESSIONAL LLC (NPI 1427091206), doing business as Advanced Spine & Sports Specialists, Llc, is a healthcare organization registered as a physical medicine & rehabilitation in Boulder, Colorado and active in the NPI registry since June 2006. The organization lists David Rodriguez, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1427091206
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameSPINE WEST A PROFESSIONAL LLC
Location Address5387 MANHATTAN CIRCLE, SUITE 200Boulder, CO 80303-4283
Mailing Address5387 Manhattan Circle, Suite 200Boulder, CO 80303-4283 · (303) 494-7773
Organization SubpartNo
Authorized OfficialDavid RodriguezPractice Manager · (303) 494-7773
Enumeration DateJune 13, 2006
Last NPPES UpdateSeptember 1, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
✔ NPI 1427091206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
5387 MANHATTAN CIRCLE, Boulder, CO 80303

Other Names 1

Former Legal Business NameAdvanced Spine & Sports Specialists, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine West A Professional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040615001792Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Spine West A Professional LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Physical Medicine and Rehabilitation
NPI 1447670971
5387 MANHATTAN CIR STE 200
Boulder, CO 80303
(303) 494-7773
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962031666
5387 MANHATTAN CIR
Boulder, CO 80303
(303) 494-7773
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1811983802
5387 MANHATTAN CIR SUITE 200
Boulder, CO 80303
(303) 494-7773
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1013902352
5387 MANHATTAN CIR SUITE 200
Boulder, CO 80303
(303) 494-7773
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1780840454
2045 N FRANKLIN ST
Denver, CO 80205
(303) 338-4545
✔ PECOS✔ Accepts Medicare21 mi
Osteopathic Manipulative Medicine
NPI 1336674936
942 OAK STREET
Steamboat Springs, CO 80487
(970) 879-9362
✔ PECOS✔ Accepts Medicare92 mi
Physical Medicine and Rehabilitation
NPI 1245727304
1528 EUREKA RD STE 103
Roseville, CA 95661
(916) 772-5325
✔ PECOS✔ Accepts Medicare861 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine West A Professional LLC's NPI number?

The NPI number for Spine West A Professional LLC is 1427091206. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider was formerly known as Advanced Spine & Sports Specialists, LLC.

Where is Spine West A Professional LLC located?

Spine West A Professional LLC is located at 5387 Manhattan Circle Suite 200, Boulder, CO 80303. The listed phone number is (303) 494-7773.

What is Spine West A Professional LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Spine West A Professional LLC enrolled in Medicare?

Yes. Spine West A Professional LLC is registered in the Medicare PECOS enrollment system.

When is Spine West A Professional LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spine West A Professional LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Spine West A Professional LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Medicine and Rehabilitation (5), Nurse Practitioner (1) and Osteopathic Manipulative Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine West A Professional LLC was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.