Healthcare Provider Details

I. General information

NPI: 1285799072
Provider Name (Legal Business Name): UNITED REHABILITATION, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 AUSTIN BLUFFS PKWY SUITE 102
COLORADO SPRINGS CO
80918-5763
US

IV. Provider business mailing address

2930 AUSTIN BLUFFS PKWY SUITE 102
COLORADO SPRINGS CO
80918-5763
US

V. Phone/Fax

Practice location:
  • Phone: 719-594-9997
  • Fax: 719-594-4152
Mailing address:
  • Phone: 719-594-9997
  • Fax: 719-594-4152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number643
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number643
License Number StateCO

VIII. Authorized Official

Name: DR. JOHN MANUEL BERMUDEZ
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 719-594-9997