MEDICARE: PHYSICAL AND REGENERATIVE MEDICINE OF COLORADO

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	208100000X	Physical Medicine & Rehabilitation Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1124043401	OTHER	CO	111N00000X - CHIROPRACTOR
2	1245754738	OTHER	CO	363LF0000X - NURSE PRACTITIONER
3	1154470805	OTHER	CO	111N00000X - CHIROPRACTOR
4	1588917579	OTHER	CO	363LF0000X - NURSE PRACTITIONER
5	1982999207	OTHER	CO	111N00000X - CHIROPRACTOR

General Provider Information

NPI Number	:	1659915825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL AND REGENERATIVE MEDICINE OF COLORADO

Provider Business Mailing Address
First Line	:	950 17TH ST STE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-2803
Country	:	US
Telephone Number	:	303-292-9992
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 17TH ST STE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-2803
Country	:	US
Telephone Number	:	303-292-9992
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	RACHEL ANDERS
Credential	:
Telephone Number	:	833-734-3626

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	10/31/2019

Similar Medicare Providers

1588917579 — MRS. KAREN LEIGH REA NP
Practice Location Address:

950 17TH ST STE 200
DENVER, CO
80202-2803

Practice Phone: 303-292-9992
Practice Fax: 303-292-9970

1164060471 — PHYSICAL AND REGENERATIVE MEDICINE OF DENVER
Practice Location Address:

950 17TH ST STE 200
DENVER, CO
80202-2803

Practice Phone: 855-734-3727
Practice Fax:

1235855032 — KATHLEEN MARIE ADAMS DNP, FNP-C
Practice Location Address:

950 17TH ST STE 200
DENVER, CO
80202-2803

Practice Phone: 303-292-9992
Practice Fax:

1568409654 — RICKY L ARTIST MD
Practice Location Address:

2803 ROSLYN ST
DENVER, CO
80238-2624

Practice Phone: 303-403-6300
Practice Fax: 303-403-6315

1023059276 — KRISTINE ELIZABETH WALSH MD
Practice Location Address:

2803 ROSLYN ST
DENVER, CO
80238-2624

Practice Phone: 303-403-6300
Practice Fax: 303-403-6315

1952627135 — MS. TERESA JEAN MOEN MSPT
Practice Location Address:

1252 LEYDEN ST
DENVER, CO
80220-2803

Practice Phone: 720-489-0790
Practice Fax:

Directions to “PHYSICAL AND REGENERATIVE MEDICINE OF COLORADO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.