Provider Demographics
NPI:1134572464
Name:COLORADO MOTION
Entity type:Organization
Organization Name:COLORADO MOTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:719-422-9384
Mailing Address - Street 1:4570 HILTON PKWY STE 202D
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-3566
Mailing Address - Country:US
Mailing Address - Phone:719-432-9222
Mailing Address - Fax:719-960-2894
Practice Address - Street 1:4570 HILTON PKWY STE 202D
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3566
Practice Address - Country:US
Practice Address - Phone:719-432-9222
Practice Address - Fax:719-960-2894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LPC.0013085101YM0800X
COLPC.0013085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty