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General NPI Number Information
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NPI Number | 1093787905
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Entity Type | Organization
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Legal Business Name | CHEYENNE MOUNTAIN REHABILITATION, INC
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 660 SOUTHPOINTE CT SUITE #100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3804
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Country | US
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Telephone | 719-578-5957
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Fax | 719-576-7334
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Provider Business Mailing Address
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Address Line | 660 SOUTHPOINTE CT SUITE #100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3804
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Country | US
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Telephone | 719-578-5957
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Fax | 719-576-7334
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. ANN S BATES
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Credential |
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Telephone | 719-578-5957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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