Specialized Rehabilitation, Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003122

Legal business name

SPECIALIZED REHABILITATION, INC

Practice address

9200 W Cross Dr Ste 400
Littleton, CO 80123-0759

Phone

(303) 904-8133

Fax

(303) 904-8109

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Renee Marie Tebon, OTR, CHT, CLT-LANA

Title

Owner

Phone

(303) 904-8133

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174532998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR STE 400",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801230759",
            "telephone_number": "303-904-8133",
            "fax_number": "303-904-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR STE 400",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801230759",
            "telephone_number": "303-904-8133",
            "fax_number": "303-904-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEBON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-904-8133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR, CHT, CLT-LANA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "003122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Littleton, CO
• Providers in Littleton, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.