Healthcare Provider Details

I. General information

NPI: 1538914973
Provider Name (Legal Business Name): NTG REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 06/02/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6005 DELMONICO DR STE 130
COLORADO SPRINGS CO
80919-2265
US

IV. Provider business mailing address

3025 ELECTRA DR
COLORADO SPRINGS CO
80906-1090
US

V. Phone/Fax

Practice location:
  • Phone: 719-204-9293
  • Fax:
Mailing address:
  • Phone: 719-249-0096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL C BUCKLER
Title or Position: CEO
Credential: PT
Phone: 719-492-0160