MEDICARE: CENTER FOR NEUROREHABILITATION SERVICES PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	103G00000X	Clinical Neuropsychologist
4	1041C0700X	Clinical Social Worker
5	225100000X	Physical Therapist
6	225A00000X	Music Therapist
7	225X00000X	Occupational Therapist
8	225XR0403X	Driving and Community Mobility Occupational Therapist
9	235Z00000X	Speech-Language Pathologist
10	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225008816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR NEUROREHABILITATION SERVICES PC

Provider Business Mailing Address
First Line	:	1045 ROBERTSON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3926
Country	:	US
Telephone Number	:	970-493-6667
Fax Number	:	970-493-8016

Provider Business Practice Location Address
First Line	:	1045 ROBERTSON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3926
Country	:	US
Telephone Number	:	970-493-6667
Fax Number	:	970-493-8016

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	DR. THOMAS L BENNETT
Credential	:	PHD
Telephone Number	:	970-493-6667

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/11/2025

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