MEDICARE: REHAB FOR ALL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1164046561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB FOR ALL LLC

Provider Business Mailing Address
First Line	:	2005 AEROPLAZA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-4207
Country	:	US
Telephone Number	:	719-425-7771
Fax Number	:

Provider Business Practice Location Address
First Line	:	2132 E BIJOU STREET
Second Line	:	SUITE 109
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-5945
Country	:	US
Telephone Number	:	719-425-7775
Fax Number	:	719-208-7730

Authorized Official
Title or Position	:	OWNER
Name	:	JASON PICKERILL
Credential	:
Telephone Number	:	719-425-7771

Provider Enumeration Date	:	06/01/2020
Last Update Date	:	05/16/2022

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Directions to “REHAB FOR ALL LLC ” Practice Location

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