NPIMap

Organization Active NPI

Comprehensive Rehabilitation & Pain Specialists, PLLC

Doing business as Premier Spine & Pain Institute

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brighton, CO
National Provider Identifier
1215765433
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC
Doing business as
Premier Spine & Pain Institute
Practice address
1610 PR Ctr Pkwy Ste 2170
Brighton, CO 80601-4001
Phone
(303) 844-5000
NPI assigned
Jul 22, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Amar PatelNPI 1922310119
Title
Ceo
Phone
(303) 844-5000

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
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

1610 PR Ctr Pkwy Ste 2170
Brighton, CO 80601-4001

Mailing address

9351 Grant St Ste 490
Thornton, CO 80229-4365
Phone (303) 844-5000

Other names 1

  • Premier Spine & Pain Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180525001489 CO Part B Supplier - Clinic/Group Practice 3779857180 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arvada, CO; Thornton, CO; Brighton, CO

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Rehabilitation Pain Specialists PLLC2 organizations share this tax ID, including this one
Part of
Comprehensive Rehabilitation Pain Specialists PLLC

Other organizations with this tax ID 1

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

Locations

380 Empire Rd
Ste 204
Lafayette, CO 80026
Phone (303) 844-5000

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1215765433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 490",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294365",
            "telephone_number": "303-844-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 PR CTR PKWY STE 2170",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014001",
            "telephone_number": "303-844-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-844-5000"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Spine & Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.