Provider Demographics
NPI: | 1073296802 |
---|---|
Name: | COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC |
Entity type: | Organization |
Organization Name: | COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | AMAR |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PATEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 303-844-5000 |
Mailing Address - Street 1: | 9351 GRANT ST STE 490 |
Mailing Address - Street 2: | |
Mailing Address - City: | THORNTON |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80229-4365 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 303-844-5000 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 380 EMPIRE RD STE 204 |
Practice Address - Street 2: | |
Practice Address - City: | LAFAYETTE |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80026-2677 |
Practice Address - Country: | US |
Practice Address - Phone: | 303-844-5000 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-08-09 |
Last Update Date: | 2023-08-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | Group - Single Specialty |