MEDICARE: COMPREHENSIVE REHABILITATION & PAIN SPECIALISTS, PLLC.

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	CDRH.55375	CO

General Provider Information

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

Provider Business Mailing Address
First Line	:	PO BOX 29037
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80229-0037
Country	:	US
Telephone Number	:	303-209-7590
Fax Number	:

Provider Business Practice Location Address
First Line	:	9351 GRANT ST STE 490
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80229-4365
Country	:	US
Telephone Number	:	303-209-7590
Fax Number	:	303-209-7590

Authorized Official
Title or Position	:	CEO
Name	:	DR. AMAR PATEL
Credential	:	MD
Telephone Number	:	303-209-7590

Provider Enumeration Date	:	03/14/2017
Last Update Date	:	07/28/2023

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