Organization Active NPI

Maher Rehab Solutions LLC

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
National Provider Identifier
1154935286
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MAHER REHAB SOLUTIONS LLC
Practice address
1880 Office Club PT Ste 100
Colorado Springs, CO 80920-5012
Phone
(719) 471-0722
Fax
(719) 471-2116
NPI assigned
Sep 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Michael Ettleman Maher, DONPI 1891159232
Title
Owner
Phone
(402) 319-2578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1880 Office Club PT Ste 100
Colorado Springs, CO 80920-5012

Mailing address

1880 Office Club PT Ste 100
Colorado Springs, CO 80920-5012
Phone (402) 319-2578

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drmaher@maherrehabsolutions.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112002000 CO Part B Supplier - Clinic/Group Practice 2567875545 Receives reassigned benefits from 4 practitioners
Practice locations: Littleton, CO; Englewood, CO; Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

2612 W Cucharras St
Colorado Springs, CO 80904
Phone (719) 632-7474

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1154935286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205012",
            "telephone_number": "402-319-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205012",
            "telephone_number": "719-471-0722",
            "fax_number": "719-471-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHER REHAB SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-05",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ETTLEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-319-2578",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmaher@maherrehabsolutions.org",
            "affiliation": "N",
            "address_1": "583 Coyote Willow Dr",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809217609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.