MEDICARE: CERTIFIED REHAB SERVICES INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies	03404280000	CO
2	332BC3200X	Customized Equipment (DME)	0340428000	CO
3	335E00000X	Prosthetic/Orthotic Supplier	03404280000	CO

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	:	1962435875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CERTIFIED REHAB SERVICES INC.

Provider Business Mailing Address
First Line	:	2415 E MULBERRY ST APT 7
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3752
Country	:	US
Telephone Number	:	970-482-7116
Fax Number	:	970-498-9529

Provider Business Practice Location Address
First Line	:	2415 E MULBERRY ST APT 7
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3752
Country	:	US
Telephone Number	:	970-482-7116
Fax Number	:	970-498-9529

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CASEY J BRADSHAW
Credential	:
Telephone Number	:	970-482-7116

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	04/08/2025

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