Individual provider Active NPI

Michael Ettleman Maher, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
National Provider Identifier
1891159232
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DR.0063595 Issued in CO
Practice address
1880 Office Club PT Ste 100
Colorado Springs, CO 80920-5012
Phone
(719) 471-0727
Fax
(719) 471-2116
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X DR.0063595 CO
Physical Medicine & Rehabilitation Physician 208100000X DR.0063595 CO Primary

Addresses

Primary practice location

1880 Office Club PT Ste 100
Colorado Springs, CO 80920-5012

Mailing address

1880 Office Club PT Ste 100
Colorado Springs, CO 80920-5012
Phone (719) 471-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701001289 CO Practitioner - Physical Medicine and Rehabilitation 6800219379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maher Rehab Solutions LLCGroup PAC ID 2567875545, 3 clinicians

Practice addresses (Care Compare)

1880 Office Club PT
Suite 100
Colorado Springs, CO 80920-5012
Phone (719) 471-0727

Hospital & facility affiliations

  • Encompass Health Rehabilitation Hospital of Co SPG Inpatient rehabilitation facility, Colorado Springs, CO, CCN 063030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0063595COMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maher Rehab Solutions LLC Physical Medicine & Rehabilitation CurrentSince Dec 1, 2020 Accepting new patients
Post Acute Rehabilitation Physicians LLC Physical Medicine & Rehabilitation CurrentSince Sep 7, 2024 Accepting new patients
Maher Pain & Medical Rehabilitation Services LLC Physical Medicine & Rehabilitation CurrentSince Jun 1, 2025 Accepting new patients
Encompass Health Rehabilitation Hospital of Colorado Springs, Inc. Past Accepting new patients

Locations

2025 E Egbert St
Brighton, CO 80601
Phone (303) 237-5700

1880 Office Club Pt
Ste 100
Colorado Springs, CO 80920
Phone (719) 471-0722

630 Southpointe Ct
Ste 106
Colorado Springs, CO 80906
Phone (402) 319-2578

325 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 471-6512

590 W Highway 105
Monument, CO 80132
Phone (719) 344-8015

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1891159232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205012",
            "telephone_number": "719-471-0727",
            "fax_number": "719-471-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205012",
            "telephone_number": "719-471-0727",
            "fax_number": "719-471-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "MICHAEL",
        "middle_name": "ETTLEMAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR.0063595",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0063595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.