NPIMap

Organization Active NPI

Rehabcare Group East LLC

Doing business as RehabCare

  • Physical Therapy Clinic/Center
  • Lakewood, CO
National Provider Identifier
1417933425
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REHABCARE GROUP EAST LLC
Doing business as
RehabCare
Practice address
12567 W Cedar Dr
Suite 120
Lakewood, CO 80228
Phone
(303) 988-1407
NPI assigned
Dec 21, 2005
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Anna Gardina
Title
Chief Executive Officer
Phone
(847) 441-5593

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

12567 W Cedar Dr
Suite 120
Lakewood, CO 80228

Mailing address

2600 Compass Rd
Glenview, IL 60026-8001
Phone (678) 491-6692

Other names 1

  • RehabCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324001169 CO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0042128894 Practice locations: Arvada, CO; Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417933425. Details of each certification follow.

  • CCN 066626 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 066626

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
REHABCARE
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 9, 2001
Last certification
Jan 4, 2023
Ownership / control type
Proprietary
Most recent change of ownership
Mar 1, 2005
Facility address
12567 West Cedar Drive, Ste 120
Lakewood, CO 80228

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Rehabcare Group East LLC63 organizations share this tax ID, including this one

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1889 Silversmith Rd
Colorado Springs, CO 80921

3629 W 29th Ave
Denver, CO 80211
Phone (303) 433-7221

1350 Charles Dr
Longmont, CO 80503

Practitioners & affiliated clinicians

Practitioners 11

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": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1417933425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "678-491-6692",
            "fax_number": "847-386-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12567 W CEDAR DR",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80228",
            "telephone_number": "303-988-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE GROUP EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "GARDINA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-441-5593"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.