COLORADO REHABILITATION PHYS
NPI 1215988936
Rehabilitation Practitioner in Colorado Spgs, CO
- Organization
- Rehabilitation Practitioner
- CLIA Number: 06D1002395
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About COLORADO REHABILITATION PHYS
This page provides the complete NPI Profile along with additional information for Colorado Rehabilitation Phys, a provider established in Colorado Spgs, Colorado operating as a Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1215988936 assigned on May 2006. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Millie Shelton (Business Office Manager)
- NPI
- 1215988936 Verify this NPI
- Provider Name
- COLORADO REHABILITATION PHYS
- Entity Type
- Organization
- Location Address
- 2222 N NEVADA AVE STE 5020 COLORADO SPGS, CO 80907
- Location Phone
- (719) 776-5960
- Location Fax
- (719) 776-5045
- Mailing Address
- 2222 N NEVADA AVE STE 5020 COLORADO SPGS, CO 80907
- Mailing Phone
- (719) 776-5960
- Mailing Fax
- (719) 776-5045
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2006
- Last Update Date
- 03-19-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- CO
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C486888 | MEDICARE PIN (08) | CO | |
| 71151753 | MEDICAID (05) | CO |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D1002395
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 06, 2002
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- DEEPSHIKHA DATTA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Colorado Rehabilitation Phys on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for COLORADO REHABILITATION PHYS
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215988936, enumerated as an "organization" on May 15, 2006.
The provider is located at 2222 N NEVADA AVE STE 5020 COLORADO SPGS, CO 80907 and the phone number is (719) 776-5960.
Rehabilitation Practitioner with taxonomy code 225400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
