Rehab Colorado, LLC.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

REHAB COLORADO, LLC.

Practice address

880 Airport Road
Breckenridge, CO 80424

Phone

(970) 453-4365

Fax

(970) 453-7972

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1132

Specialties & licenses 1

Addresses

Other names 1

• Avalanche Physical Therapy Doing business as

Member of 1

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

• Rehab Associates, LLC

  • Rehabilitation Clinic/Center
  • Birmingham, AL
  • NPI 1013555093

  Member Of

  NPD member

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1528095452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-975-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 AIRPORT ROAD",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-453-4365",
            "fax_number": "970-453-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB COLORADO, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1132"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalanche Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Ragusa, CMT, LMT
• Jordan Rajewski
• Red White and Blue Fire Protection District
• Red White and Blue Fire Protection District
• Rehab Colorado LLC
• Heather A Rhine, PHARMD
• Ridge Street Dental
• Jill A. Ridley, NP
• Ripple & Root Therapy LLC
• Lisa Diane Roberts, NP

• All providers in Breckenridge, CO
• Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.