Provider Demographics
NPI:1386719052
Name:REA REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:REA REHABILITATION SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:REA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:719-599-5330
Mailing Address - Street 1:2360 MONTEBELLO SQUARE DR STE C
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6901
Mailing Address - Country:US
Mailing Address - Phone:719-599-5330
Mailing Address - Fax:719-599-5438
Practice Address - Street 1:2360 MONTEBELLO SQUARE DR STE C
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6901
Practice Address - Country:US
Practice Address - Phone:719-599-5330
Practice Address - Fax:719-599-5438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
802109Medicare ID - Type UnspecifiedFACILITY MEDICARE NUMBER