Provider Demographics
NPI:1427630920
Name:ACCELERATED REHAB THERAPY OF NORTHERN COLORADO LLC
Entity type:Organization
Organization Name:ACCELERATED REHAB THERAPY OF NORTHERN COLORADO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-351-2412
Mailing Address - Street 1:2928 W 10TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-5434
Mailing Address - Country:US
Mailing Address - Phone:303-829-5997
Mailing Address - Fax:970-351-2427
Practice Address - Street 1:2928 W 10TH ST STE 101
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-5434
Practice Address - Country:US
Practice Address - Phone:303-829-5997
Practice Address - Fax:970-351-2427
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCELERATED REHAB THERAPY OF NORTHERN COLORADO LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty