Provider Demographics
NPI:1639610389
Name:COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC.
Entity Type:Organization
Organization Name:COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC.
Other - Org Name:PREMIER SPINE & PAIN INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-209-7590
Mailing Address - Street 1:PO BOX 29037
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-0037
Mailing Address - Country:US
Mailing Address - Phone:303-209-7590
Mailing Address - Fax:
Practice Address - Street 1:9351 GRANT ST STE 490
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4365
Practice Address - Country:US
Practice Address - Phone:303-209-7590
Practice Address - Fax:303-209-7590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCDRH.553752081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1922310119Medicare PIN