Organization Active NPI

Certified Rehab Services Inc

  • Prosthetic/Orthotic Supplier
  • Cheyenne, WY
National Provider Identifier
1073623237
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
2008758 Issued in WY
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.