Healthcare Provider Details

I. General information

NPI: 1295337715
Provider Name (Legal Business Name): REHAB FOR ALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2020
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 E BIJOU STREET SUITE 109
COLORADO SPRINGS CO
80909-5946
US

IV. Provider business mailing address

2005 AEROPLAZA DR
COLORADO SPRINGS CO
80916-4207
US

V. Phone/Fax

Practice location:
  • Phone: 719-425-7771
  • Fax: 719-208-7730
Mailing address:
  • Phone: 719-425-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JASON PICKERILL
Title or Position: OWNER
Credential:
Phone: 719-425-7771