Certified Rehab Services Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

03404280000 Issued in CO

Legal business name

CERTIFIED REHAB SERVICES INC.

Practice address

2415 E Mulberry St Apt 7
Fort Collins, CO 80524-3752

Phone

(970) 482-7116

Fax

(970) 498-9529

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Casey J Bradshaw

Title

Owner

Phone

(970) 482-7116

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Certified Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Certified Rehab Services Inc

  • Prosthetic/Orthotic Supplier
  • Cheyenne, WY
  • NPI 1073623237
  NPD tax ID

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1962435875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 E MULBERRY ST APT 7",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243752",
            "telephone_number": "970-482-7116",
            "fax_number": "970-498-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E MULBERRY ST APT 7",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243752",
            "telephone_number": "970-482-7116",
            "fax_number": "970-498-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED REHAB SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-482-7116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "03404280000",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CO",
            "license": "0340428000",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CO",
            "license": "03404280000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08012742",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107744900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathryn A Cerkoney, FNP
• Jairo Cerna Sanchez
• Thomas D Cesca, MD
• Satish Jacob Chacko, M.D.
• Leticia Chacon
• Jennifer Chadwick-Conway, LCSW
• Avery L Chadwick

• Prosthetic/Orthotic Supplier in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Prosthetic/Orthotic Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.