Healthcare Provider Details

I. General information

NPI: 1114600657
Provider Name (Legal Business Name): COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 08/10/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 GRANT ST STE 105
THORNTON CO
80229-4386
US

IV. Provider business mailing address

9351 GRANT ST STE 490
THORNTON CO
80229-4365
US

V. Phone/Fax

Practice location:
  • Phone: 303-844-5000
  • Fax:
Mailing address:
  • Phone: 303-844-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: AMAR PATEL
Title or Position: CEO
Credential:
Phone: 303-844-5000