Intermountain Rehabilatation Assoc

Primary specialty

SpecialistTaxonomy code 174400000X

License

30128 Issued in CO

Legal business name

INTERMOUNTAIN REHABILATATION ASSOC

Practice address

923 W Colorado Ave
Colorado Springs, CO 80905-1517

Phone

(719) 227-0101

Fax

(719) 227-0303

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Jack Rook

Title

Officer

Phone

(719) 227-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Intermountain Rehab Asscs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Intermountain Rehab Assoc in

  • Specialist
  • Colorado Springs, CO
  • NPI 1588772305
  NPD tax ID
• Intermountain Rehabilitation Associates PC

  • Specialist
  • Colorado Springs, CO
  • NPI 1568737872
  NPD tax ID

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1669645149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051517",
            "telephone_number": "719-227-0101",
            "fax_number": "719-227-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051517",
            "telephone_number": "719-227-0101",
            "fax_number": "719-227-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN REHABILATATION ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "ROOK",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "719-227-0101"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "30128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-301282",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intermodal Interventions, Inc.
• Adam Intermont
• Intermountain Counseling, PLLC
• Intermountain Foot & Ankle Assoc P.C
• Intermountain Rehab Assoc in
• Intermountain Rehabilitation Associates PC
• Internal Medicine and Allergy PC
• Internal Medicine Associates of Colorado Springs PC
• Internal Medicine of North Springs, P.C.
• Internal Medicine of the Rockies

• Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.