At Home Rehab LLC
Organization Active NPI Orthopedic Physical Therapist · Salida, CO
NPI 1871548750 · NPPES record last updated Aug 15, 2007
Key facts
- NPI
- 1871548750
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 6910 (CO)
- Legal business name
- AT HOME REHAB LLC
- Practice address
- 731 Blake St
Salida, CO 81201-2919 - Phone
- (719) 539-2431
- Fax
- (719) 539-3626
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Leanora Theresa Premeau, M.P.T.
- Title
- Physical Therapist
- Phone
- (719) 539-2431
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050816000382 | CO | Part B Supplier - Clinic/Group Practice | 0749210128 |
Receives reassigned benefits from 1 practitioner Practice locations: Salida, CO |
National Provider Directory
Locations
731 Blake St
Salida, CO 81201
Phone (719) 539-2431
735 Blake St
Ste 102
Salida, CO 81201
Phone (719) 207-0187
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist |
2251X0800X | 6910 | CO | Yes |
Addresses
Primary practice location
731 Blake St
Salida, CO 81201-2919
Mailing address
416 E 4TH St
Salida, CO 81201-2822
Phone (719) 539-2431
Other providers in Salida, CO
- Anupa Wellness, LLC
- April Asbury Pmhnp LLC
- David M Arnett
- Erin Arnett
- April Rose Asbury
- Paul Atkins
- Sally Ayotte
- Jason Babcock
- Julie Ann Bainbridge
- Jamie Allen Baker
All providers in Salida, CO · Orthopedic Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.