Active NPI
Colorado Pain & Rehabilitation PLLC
- Physical Medicine & Rehabilitation Physician
- Englewood, CO
National Provider Identifier
1689600256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- COLORADO PAIN & REHABILITATION PLLC
- Practice address
- 125 E Hampden Ave
Englewood, CO 80113-2546 - Phone
- (303) 788-9322
- Fax
- (303) 788-9337
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Weberg
- Title
- Executive Director
- Phone
- (303) 423-8334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | CO | Primary |
Addresses
Primary practice location
125 E Hampden Ave
Englewood, CO 80113-2546
Mailing address
125 E Hampden Ave
Englewood, CO 80113-2546
Phone (303) 788-9322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18859020 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Colorado Pain and Rehab LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Aurora, CO
- NPI 1073549630
-
- Physical Medicine & Rehabilitation Physician
- Greeley, CO
- NPI 1538197678
-
- Physical Medicine & Rehabilitation Physician
- Denver, CO
- NPI 1588692610
-
- Physical Medicine & Rehabilitation Physician
- Denver, CO
- NPI 1427139054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652918400000",
"number": "1689600256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132546",
"telephone_number": "303-788-9322",
"fax_number": "303-788-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132546",
"telephone_number": "303-788-9322",
"fax_number": "303-788-9337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO PAIN & REHABILITATION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2022-05-19",
"status": "A",
"authorized_official_last_name": "WEBERG",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "303-423-8334",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18859020",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
- Colorado Neuropsychological Associates, P.C.
- Colorado Orthopedic Clinic
- Colorado Orthopedic Consultants PC
- Colorado Orthopedic Consultants PC
- Colorado Orthopedic Consultants PC
- Colorado Permanente Medical Group, P.C.
- Colorado Plastic Surgery, P.C.
- Colorado Professional Medical Services LLC
- Colorado Retina Associates, PLLC
- Colorado Shoulder, Hip, & Knee Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.