Rehab Colorado LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

REHAB COLORADO LLC

Practice address

555 S Park Ave Plaza 2
Breckenridge, CO 80424

Phone

(970) 401-0175

Fax

(970) 453-7972

NPI assigned

Nov 16, 2012

Organization subpart

No

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

Authorized official

Name

Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1132

Specialties & licenses 1

Addresses

Other names 1

• Avalanche Physical Therapy Doing business as

Tax ID family

Avalanche Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Select Cal Physical Therapy PC

  • Rehabilitation Clinic/Center
  • San Diego, CA
  • NPI 1851053433
  NPD tax ID
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Ridgecrest, CA
  • NPI 1386228302
  NPD tax ID

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1124362918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-975-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S PARK AVE PLAZA 2",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-401-0175",
            "fax_number": "970-453-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1132"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalanche Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Ragusa, CMT
• Gina Ragusa, CMT, LMT
• Jordan Rajewski
• Red White and Blue Fire Protection District
• Red White and Blue Fire Protection District
• Rehab Colorado, LLC.
• Heather A Rhine, PHARMD
• Ridge Street Dental
• Jill A. Ridley, NP
• Ripple & Root Therapy LLC

• Rehabilitation Clinic/Center in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.