Healthcare Provider Details

I. General information

NPI: 1518877646
Provider Name (Legal Business Name): ARC MEDICAL REHAB COLORADO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE B
DENVER CO
80203-1859
US

IV. Provider business mailing address

1500 N GRANT ST STE B
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 470-592-1168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN BERNARDINI
Title or Position: OWNER
Credential:
Phone: 714-381-5786