Provider Demographics
NPI:1427350487
Name:REGIS UNIVERSITY
Entity type:Organization
Organization Name:REGIS UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-964-5202
Mailing Address - Street 1:3333 REGIS BLVD
Mailing Address - Street 2:G-4
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1099
Mailing Address - Country:US
Mailing Address - Phone:303-458-4986
Mailing Address - Fax:303-964-5474
Practice Address - Street 1:3333 REGIS BLVD
Practice Address - Street 2:F-12
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1154
Practice Address - Country:US
Practice Address - Phone:303-625-1297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-24
Last Update Date:2025-01-27
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
CO9000187875Medicaid