Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Source 1

Organization Customized Equipment (DME) · NPI 1609109776

Source 1 is a Customized Equipment (DME) in Superior, Colorado. Licensed in Colorado. Registered with an NPI since 2009.

Licensed in
CO
In the registry since
2009
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Practice location Address checks out

3012 Mica Ct
Superior, CO 80027-4548
Phone: (303) 554-6699
Fax: (303) 554-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 4274647 (CO)

Record details

NPI number1609109776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Fox — Owner · (303) 324-7674
Other names Flatirons Sports Medicine Or Source 1- Dme
NPI enumeratedSeptember 8, 2009
Last updated in NPPESSeptember 14, 2009
Mailing address3012 Mica Ct, Superior, CO 80027-4548