Provider Demographics
NPI:1750408951
Name:SPECIALTY THERAPY SERVICES INC
Entity type:Organization
Organization Name:SPECIALTY THERAPY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RINGLING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:719-632-9900
Mailing Address - Street 1:1901 N UNION BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-7200
Mailing Address - Country:US
Mailing Address - Phone:719-522-1080
Mailing Address - Fax:719-522-0661
Practice Address - Street 1:1901 N UNION BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-7200
Practice Address - Country:US
Practice Address - Phone:719-522-1080
Practice Address - Fax:719-522-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO066645Medicare PIN
COC448408Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER