MEDICARE: STASIS SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1780511790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STASIS SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1844 HOVER ST
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-7178
Country	:	US
Telephone Number	:	303-802-9374
Fax Number	:	303-802-9374

Provider Business Practice Location Address
First Line	:	1844 HOVER ST
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-7178
Country	:	US
Telephone Number	:	720-673-8451
Fax Number	:	720-378-4986

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SAMIR SINGH
Credential	:
Telephone Number	:	303-802-9374

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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