Active NPI
Michael Ettleman Maher, D.O.
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DR.0063595
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0063595 | CO | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maher Rehab Solutions LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Post Acute Rehabilitation Physicians LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Maher Pain & Medical Rehabilitation Services LLC | Physical Medicine & Rehabilitation | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1154935286
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1154218980
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
CO
-
- Rehabilitation Hospital
- Colorado Springs, CO
- NPI 1164496006
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Colorado Springs, CO
- NPI 1164496006
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.