ALPINE INJURY & RECOVERY, LLC

Provider Demographics

• NPI: 1811755788
• Name: ALPINE INJURY & RECOVERY, LLC
• Entity type: Organization
• Organization Name: ALPINE INJURY & RECOVERY, LLC
• Authorized Official - Title/Position: PRESIDENT/CEO
• Authorized Official - Prefix: MR
• Authorized Official - First Name: CHRISTOPHER
• Authorized Official - Middle Name: JOON YOUNG
• Authorized Official - Last Name: CANNAVERDE
• Authorized Official - Phone: 303-276-0642
• Mailing Address - Street 1: 9195 GRANT ST STE 305
• Mailing Address - City: THORNTON
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80229-4386
• Mailing Address - Country: US
• Mailing Address - Phone: 303-276-0642
• Mailing Address - Fax: 303-276-0643
• Practice Address - Street 1: 9195 GRANT ST STE 305
• Practice Address - City: THORNTON
• Practice Address - State: CO
• Practice Address - Zip Code: 80229-4386
• Practice Address - Country: US
• Practice Address - Phone: 303-276-0642
• Practice Address - Fax: 303-276-0643
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2024-03-06
• Last Update Date: 2024-03-06

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	208D00000X	Allopathic & Osteopathic Physicians	General Practice		Group - Multi-Specialty
No	111N00000X	Chiropractic Providers	Chiropractor		Group - Multi-Specialty
No	111NI0013X	Chiropractic Providers	Chiropractor	Independent Medical Examiner	Group - Multi-Specialty
No	111NR0400X	Chiropractic Providers	Chiropractor	Rehabilitation	Group - Multi-Specialty
No	171M00000X	Other Service Providers	Case Manager/Care Coordinator		Group - Multi-Specialty
No	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation		Group - Multi-Specialty
No	2081P2900X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation	Pain Medicine	Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225400000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Rehabilitation Practitioner		Group - Multi-Specialty
No	225700000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Massage Therapist		Group - Multi-Specialty
No	225XP0019X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Physical Rehabilitation	Group - Multi-Specialty
No	247200000X	Technologists, Technicians & Other Technical Service Providers	Technician, Other		Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	363LP2300X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Primary Care	Group - Multi-Specialty