Colorado Rehabilitation Phys

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

COLORADO REHABILITATION PHYS

Practice address

2222 N Nevada Ave
Ste 5020
Colorado SPGS, CO 80907-6868

Phone

(719) 776-5960

Fax

(719) 776-5045

NPI assigned

May 15, 2006

Last updated

Mar 19, 2008By 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

Millie Shelton

Title

Business Office Manager

Phone

(719) 776-5673

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1215988936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "address_2": "STE 5020",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809076868",
            "telephone_number": "719-776-5960",
            "fax_number": "719-776-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "address_2": "STE 5020",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809076868",
            "telephone_number": "719-776-5960",
            "fax_number": "719-776-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO REHABILITATION PHYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "719-776-5673"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71151753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Colorado SPGS, CO
• Providers in Colorado SPGS, CO by specialty
• Rehabilitation Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.