Provider Demographics
NPI:1639437486
Name:SAMSARA, INC.
Entity Type:Organization
Organization Name:SAMSARA, INC.
Other - Org Name:ACTIVERX REHABILITATION - ENGLEWOOD CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-781-2181
Mailing Address - Street 1:300 EAST HAMPDEN AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2638
Mailing Address - Country:US
Mailing Address - Phone:303-781-2181
Mailing Address - Fax:866-385-2921
Practice Address - Street 1:300 EAST HAMPDEN AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2638
Practice Address - Country:US
Practice Address - Phone:303-781-2181
Practice Address - Fax:866-385-2921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10309261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy