Summit Rehabilitation Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUMMIT REHABILITATION SERVICES LLC

Practice address

1855 Plaza Dr
Louisville, CO 80027-2325

Phone

(703) 439-0300

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Fathalikhani, DPTNPI 1629524590

Title

Founder, Owner

Phone

(703) 439-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Fathalikhani

  • Physical Therapist
  • Golden, CO
  • NPI 1629524590
  Medicare reassignment NPD Authorized official
• Sheila Scott, PT

  • Physical Therapist
  • Longmont, CO
  • NPI 1215371083
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1093495038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7098 DEVINNEY CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042074",
            "telephone_number": "703-439-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 PLAZA DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272325",
            "telephone_number": "703-439-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "FATHALIKHANI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FOUNDER, OWNER",
        "authorized_official_telephone_number": "703-439-0300",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aislin Stewart
• Emily Stewart, PA-C
• Kerry Stokes
• Michelle C Stoltz, MD
• Megan Stone
• Aram Sun
• Jane A. Sutliff, PH.D.
• Audrey Claire Suttor, OTRL
• Jaime Swanson, DPT
• Evelyn Swanton, P.N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.