Provider Demographics
NPI:1932272689
Name:REHABILITATION ASSOCIATES OF COLORADO PC
Entity Type:Organization
Organization Name:REHABILITATION ASSOCIATES OF COLORADO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:SONI
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-853-8671
Mailing Address - Street 1:8515 PEARL ST STE 350
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4832
Mailing Address - Country:US
Mailing Address - Phone:303-316-0900
Mailing Address - Fax:303-322-9142
Practice Address - Street 1:8515 PEARL ST STE 350
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4832
Practice Address - Country:US
Practice Address - Phone:303-853-8671
Practice Address - Fax:303-322-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO53082087Medicaid
REJ0308OtherCO BCBS
COCJ0308Medicare PIN
CK5491Medicare PIN