CENTER FOR NEUROREHABILITATION SERVICES PC (NPI# 1225008816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225008816 |
| Entity Type | Organization |
| Organization Name | CENTER FOR NEUROREHABILITATION SERVICES PC |
| Other Organization Name | BRAIN INJURY RECOVERY PROGRAM |
| Practice Address |
1045 Robertson St Fort Collins CO 80524-3926 |
| Practice Telephone | 9704936667 |
| Practice Fax Number | 9704938016 |
| Mailing Telephone | 9704936667 |
| Mailing Fax Number | 9704938016 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS L BENNETT (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9704936667 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| X | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225XR0403X |
Occupational Therapist Specialization: Driving and Community Mobility |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 121003300 | 05 | |
| CO | 04011854 | 05 |
| Other Name | Type Code |
|---|---|
| Brain Injury Recovery Program | Former Legal Business Name - Organization |
| Street Address |
1045 ROBERTSON ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277398 | Bailey Horner | Nutritionist | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2020-05-26 |
| 1417414830 | Katherine Paul Mugerditchian | Chiropractor | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2019-02-21 |
| 1962878397 | Kathleen Loetscher | Physical Therapist | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2015-08-20 |
| 1861826380 | Kristi M Shaffer | Social Worker | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2013-09-03 |
| 1295008928 | Lara Beth Sheets | Speech-Language Pathologist | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2012-02-10 |
| 1083986772 | Amanda Rose Keare | Speech-Language Pathologist | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2012-01-27 |
| 1013206150 | Kimberly Coyle Meyer-straw | Massage Therapist | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2011-03-29 |
| 1811293681 | Erin Megan Tooley | Physical Therapist | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2011-01-26 |
| 1154574424 | Lisa Hornberger | Speech-Language Pathologist | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2008-10-30 |
| 1093988446 | Julie Ann Silver Seidle | Occupational Therapist | 1045 Robertson St, Fort Collins, CO 80524-3926 | 2008-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593076 | Taylor Ann Roberson | Counselor | 1531 Riverside Ave Unit B, Fort Collins, CO 80524-4389 | 2020-06-22 |
| 1720608128 | Nicholas Hemmerick Hunt | Counselor | 423 Whedbee St, Fort Collins, CO 80524-2933 | 2020-04-26 |
| 1073148557 | Alison Anne Biggs | Counselor | 204 Walnut St Ste D, Fort Collins, CO 80524-4441 | 2020-03-05 |
| 1275175945 | Mara Holloway | Counselor | 25 Old Town Sq Ste 250-j, Fort Collins, CO 80524-4455 | 2019-10-14 |
| 1699324582 | Courtney Brooke Woolsey | Counselor | 707 Colony Ct, Fort Collins, CO 80526-2708 | 2019-09-04 |
| 1134776081 | Sarah Critchfield | Counselor | 3110 Cockney St, Fort Collins, CO 80526-2309 | 2019-08-23 |
| 1609420249 | Emili Noel Pickenpaugh | Counselor | Colorado State University 151 W Lake Street, Fort Collins, CO 80523-0001 | 2019-07-31 |
| 1750843587 | Rob Neil Colbert | Counselor | 25 Old Town Sq Ste 250j, Fort Collins, CO 80524-4455 | 2019-04-01 |
| 1053878496 | Britany Wookey | Counselor | 4903 Northern Lights Dr Unit B, Fort Collins, CO 80528-4487 | 2019-02-21 |
| 1699249649 | Joel Samuel Chabrier | Counselor | 375 E Horsetooth Rd # 101, Fort Collins, CO 80525-3155 | 2019-01-13 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on CENTER FOR NEUROREHABILITATION SERVICES PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.