Provider Demographics
NPI:1467292920
Name:RITAS REHABILITATION LLC
Entity type:Organization
Organization Name:RITAS REHABILITATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-659-3100
Mailing Address - Street 1:15051 E MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3729
Mailing Address - Country:US
Mailing Address - Phone:720-659-3100
Mailing Address - Fax:855-275-5600
Practice Address - Street 1:15051 E MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3729
Practice Address - Country:US
Practice Address - Phone:720-659-3100
Practice Address - Fax:855-275-5600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RITA'S LEGACY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-30
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy