Simplyrehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00448397 Issued in IL

Legal business name

SIMPLYREHAB, LLC

Practice address

12975 Sheridan Blvd
Broomfield, CO 80020-1477

Phone

(303) 785-5800

Fax

(303) 785-5837

NPI assigned

Oct 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Libby Roth

Title

President

Phone

(847) 562-0800

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• SimplyRehab Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1003004599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD",
            "address_2": "SUITE C-1",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622318",
            "telephone_number": "847-562-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12975 SHERIDAN BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201477",
            "telephone_number": "303-785-5800",
            "fax_number": "303-785-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLYREHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-562-0800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "00448397",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "00448397",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "00448397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "146698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SimplyRehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irshad A Siddiqui, CNIM
• Maridela Siethoff
• Rosilene Aparecida Paiva Silva, NP
• Simple Optical, Inc.
• Simply Balanced Therapy Solutions
• Nicholas Simpson, LPC
• Breanna Singleton, CNIM
• Raman Sinha, D.P.M.
• Lauren Antonette Siracusa, PT, DPT
• Sirius Healthcare Management Inc.

• Physical Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.