SOUTHERN COLORADO HEALTH & REHAB (NPI# 1548877095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548877095 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COLORADO HEALTH & REHAB |
| Practice Address |
387 E Enterprise Dr Ste 160 Pueblo CO 81007-8403 |
| Mailing Address |
Po Box 5718 Kalispell MT 59903-5718 |
| Practice Telephone | 7199248912 |
| Practice Fax Number | 7196969115 |
| Mailing Telephone | 4067560134 |
| Mailing Fax Number | 4063001612 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | BLAINE STIMAC (MANAGING MEMBER) |
| Authorized Official Telephone | 4067561128 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN COLORADO HEALTH & REHAB LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Momentum Physical Therapy of Pueblo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322547 | Southern Colorado Health & Rehab | Clinic/Center | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2020-09-29 |
| 1295198067 | Southern Colorado Health & Rehab | Physical Therapist | 1275 W Pueblo Blvd, Pueblo, CO 81004 | 2016-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Southern Colorado Health & Rehab, LLC | 690 N Meridian Rd., Ste. 201, Kalispell, MT 59901 |
| Street Address |
387 E ENTERPRISE DR STE 160 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81007-8403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053485706 | Todd S Chilson | Physical Therapist | 387 E Enterprise Dr Ste 160, Pueblo, CO 81007 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406630 | Southern Colorado Hearing Associates, Inc. | Audiologist | 904 East Hailey Lane, Pueblo West, CO 81007 | 2017-09-25 |
| 1396274361 | Laura Selig | Physical Therapist | 1168 N Thorpe Dr, Pueblo West, CO 81007 | 2017-06-05 |
| 1710351127 | Benjamin Gaines | Speech-Language Pathologist | 1056 W Broken Bow Dr, Pueblo West, CO 81007 | 2015-11-23 |
| 1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
| 1033454186 | Melissa Lynn Hollis | Occupational Therapy Assistant | 1333 N Blue Lake Ln, Pueblo West, CO 81007 | 2012-11-30 |
| 1336491125 | Patricia Deana Cuadrado | General Practice | 44 E. Spaulding Ave., Pueblo West, CO 81007 | 2012-10-04 |
| 1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
| 1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
| 1144482191 | Christopher Nicholas Liontas | Dentist | 360 S. Orchard Springs Dr, Pueblo West, CO 81007 | 2008-07-01 |
| 1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
| Find all providers in zip 81007 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203632 | Parkview Medical Center, Inc | Clinic/Center | 3676 Parker Blvd Ste 330, Pueblo, CO 81008-2213 | 2020-01-06 |
| 1437572583 | Synergy Physical Therapy and Wellness | Clinic/Center | 1080 Eagleridge Blvd, Pueblo, CO 81008-2130 | 2014-01-26 |
| 1104116003 | Becky Joann Martin | Clinic/Center | 100 San Carlos Rd Apt 310, Pueblo, CO 81005-2665 | 2011-04-12 |
| 1073784500 | Kathe Davis, Pt, Pllc | Clinic/Center | 511 West 29th St, Suite B, Pueblo, CO 81008 | 2008-03-12 |
| 1174642045 | Physical Therapy Connections, PC | Clinic/Center | 58 Glen Royal Dr, Pueblo, CO 81005-2174 | 2007-03-29 |
| 1093322547 | Southern Colorado Health & Rehab | Clinic/Center | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2020-09-29 |
| 1730711862 | Centura Ventures, LLC | Clinic/Center | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-02-06 |
| 1417596834 | Parkview Medical Center, Inc | Clinic/Center | 3204 E Spaulding Ave, Pueblo, CO 81008-2279 | 2020-01-02 |
| 1841627858 | Back In Action, LLC | Clinic/Center | 3673 Parker Blvd, Suite 160, Pueblo, CO 81008-2210 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629811 | Alpenstrong Physical Therapy LLC | Clinic/Center | 166 S Saint Vrain Ave, Estes Park, CO 80517-6355 | 2020-11-08 |
| 1467052258 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 1402 S Parker Rd Ste A116, Denver, CO 80231-2758 | 2020-10-29 |
| 1942808548 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 2706 28th St, Boulder, CO 80301-1222 | 2020-10-15 |
| 1477150597 | Anchor Physical Therapy & Wellness, Pllc | Clinic/Center | 1020 Nancy St, Fort Morgan, CO 80701-3726 | 2020-10-01 |
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1356957757 | Monument Physical Therapy LLC | Clinic/Center | 406 Chipeta Ave, Grand Junction, CO 81501-2532 | 2020-09-21 |
| 1699389288 | New Morning Physical Therapy, LLC | Clinic/Center | 6440 Tacoma Ct, Colorado Springs, CO 80915-4318 | 2020-09-01 |
| 1306455845 | Ascension Physical Therapy, Fitness and Wellness LLC | Clinic/Center | 600 S Cherry St Ste 230, Denver, CO 80246-1714 | 2020-07-30 |
| 1154930345 | Unbound Physical Therapy LLC | Clinic/Center | 3621 S Kalispell St, Aurora, CO 80013-2435 | 2020-07-23 |
| 1629686894 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 5540 Main Street, Suite #200, Westminster, CO 80031 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHERN COLORADO HEALTH & REHAB.
| 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.