Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Colorado Spine Pain & Sports Medicine PC

Organization Interventional Pain Medicine Physician · NPI 1306024708

Colorado Spine Pain & Sports Medicine PC provides Interventional Pain Medicine Physician services in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1437 Riverside Ave
Fort Collins, CO 80524-4324 Not confirmed with CMS for 16 years — call before visiting
Phone: (970) 495-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 40977 (CO)

Record details

NPI number1306024708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Nieves — President · (970) 692-5550
NPI enumeratedFebruary 7, 2008
Last updated in NPPESJune 7, 2010
Mailing address1437 Riverside Ave, Fort Collins, CO 80524-4324

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