Organization Active NPI

Colavria Therapy Services, Inc.

Doing business as Colavria Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lakewood, CO
National Provider Identifier
1790259349
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
COLAVRIA THERAPY SERVICES, INC.
Doing business as
Colavria Therapy
Practice address
1655 Eaton St
Lakewood, CO 80214-1628
Phone
(303) 238-5363
Fax
(303) 388-1712
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Mr. Mark D Bedinger
Title
President/Ceo
Phone
(303) 421-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1655 Eaton St
Lakewood, CO 80214-1628

Mailing address

1127 E 16TH Ave
Denver, CO 80218-1506
Phone (303) 321-3600

Other names 1

  • Colavria Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1127 E 16th Ave
Denver, CO 80218
Phone (303) 421-3600

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1790259349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 E 16TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181506",
            "telephone_number": "303-321-3600",
            "fax_number": "303-388-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141628",
            "telephone_number": "303-238-5363",
            "fax_number": "303-388-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLAVRIA THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "BEDINGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "303-421-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colavria Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colavria Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.