COLORADO REHABILITATION PHYS NPI 1215988936

NPI Information

  • NPI: 1215988936
  • Provider Name: COLORADO REHABILITATION PHYS
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Organization
  • CLIA Number: 06D1002395
  • Address: 2222 N NEVADA AVE
    STE 5020
    COLORADO SPGS, CO
    ZIP 80907
  • Phone: (719) 776-5960

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NPI Details

COLORADO REHABILITATION PHYS is a rehabilitation practitioner in Colorado Spgs, CO. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. COLORADO REHABILITATION PHYS NPI is 1215988936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2222 N NEVADA AVE
STE 5020
COLORADO SPGS, CO
ZIP 80907-868
Phone: (719) 776-5960
Fax: (719) 776-5045

The provider's authorized official is Millie Shelton .
The authorized official title is Business Office Manager and has the following contact phone number (719) 776-5673.

The CLIA number assigned to this NPI record is 06D1002395 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 3/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation PractitionerCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C486888MEDICARE PINCOLORADO
271151753MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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