Healthcare Provider Details

I. General information

NPI: 1639610389
Provider Name (Legal Business Name): COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9351 GRANT ST STE 490
THORNTON CO
80229-4365
US

IV. Provider business mailing address

PO BOX 29037
THORNTON CO
80229-0037
US

V. Phone/Fax

Practice location:
  • Phone: 303-209-7590
  • Fax: 303-209-7590
Mailing address:
  • Phone: 303-209-7590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberCDRH.55375
License Number StateCO

VIII. Authorized Official

Name: DR. AMAR PATEL
Title or Position: CEO
Credential: MD
Phone: 303-209-7590