Active NPI
Certified Rehab Services Inc
- Prosthetic/Orthotic Supplier
- Cheyenne, WY
National Provider Identifier
1073623237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 2008758
- Legal business name
- CERTIFIED REHAB SERVICES INC
- Practice address
- 1807 Logan Ave
Cheyenne, WY 82001-5007 - Phone
- (307) 433-1000
- Fax
- (307) 433-1005
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry R Bradshaw
- Title
- Owner
- Phone
- (970) 482-7116
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2008758 | WY | |
| Customized Equipment (DME) | 332BC3200X | 2008758 | WY | |
| Prosthetic/Orthotic Supplier | 335E00000X | 2008758 | WY | Primary |
Addresses
Primary practice location
1807 Logan Ave
Cheyenne, WY 82001-5007
Mailing address
1807 Logan Ave
Cheyenne, WY 82001-5007
Phone (307) 433-1000
National Provider Directory
National Provider Directory- Tax ID family
- Certified Rehab Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Fort Collins, CO
- NPI 1962435875
Locations
1807 Logan Ave
Cheyenne, WY 82001
Phone (307) 365-0737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1073623237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 LOGAN AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015007",
"telephone_number": "307-433-1000",
"fax_number": "307-433-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 LOGAN AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820015007",
"telephone_number": "307-433-1000",
"fax_number": "307-433-1005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CERTIFIED REHAB SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BRADSHAW",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-482-7116",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WY",
"license": "2008758",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "WY",
"license": "2008758",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "WY",
"license": "2008758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
- Sheri Cazier, R.N.
- Cedars Health (Cedars Health Cheyenne Clinic)
- Center for Dermatologic Surgery
- Central Wyoming Neuroanesthesia
- Centricare Benefits LLC
- Chandrasekhar Reddy Chada, M.B.B.S
- Christina Anne Chafin, CAP
- Beth Chalstrom
- Champlin Physical Therapy, LLC (Physical Therapy Center)
- Sandra Champlin, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.