Organization Active NPI

Jerzy Srebniak

Doing business as Denver Rehabilitation

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1851591234
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4799 Issued in CO
Legal business name
JERZY SREBNIAK
Doing business as
Denver Rehabilitation
Practice address
6825 E Tennessee Ave
Suite # 325
Denver, CO 80224-1628
Phone
(303) 333-0267
Fax
(303) 333-1038
NPI assigned
Jul 23, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Jerzy Srebniak, P.T.
Title
Physical Therapist
Phone
(303) 333-0267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4799 CO Primary

Addresses

Primary practice location

6825 E Tennessee Ave
Suite # 325
Denver, CO 80224-1628

Mailing address

6825 E Tennessee Ave
Suite # 325
Denver, CO 80224-1628
Phone (303) 333-0267

Other identifiers 1

IdentifierTypeStateIssuer
54222036MedicaidCO

Other names 1

  • Denver Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

11175 E Mississippi Ave
Ste 200
Aurora, CO 80012
Phone (303) 364-2112

6825 E Tennessee Ave
Ste 325
Denver, CO 80224
Phone (720) 541-9570

Practitioners & affiliated clinicians

Practitioners 2

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1851591234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 E TENNESSEE AVE",
            "address_2": "SUITE # 325",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241628",
            "telephone_number": "303-333-0267",
            "fax_number": "303-333-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 E TENNESSEE AVE",
            "address_2": "SUITE # 325",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241628",
            "telephone_number": "303-333-0267",
            "fax_number": "303-333-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERZY SREBNIAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SREBNIAK",
        "authorized_official_first_name": "JERZY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-333-0267",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54222036",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.