Agile Rehabilitation Services, LLC
Clinic/Center, Rehabilitation in Pueblo, CO. Organization (NPI-2).
NPI number1053045658
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1053045658
- Entity type
- Organization (NPI-2)
- Legal business name
- Agile Rehabilitation Services, LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2022
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
415 N Greenwood St Ste EPueblo, CO 81003-3173
Phone 719-542-1313 · Fax 719-542-9140
Mailing address
415 N Greenwood St Ste EPueblo, CO 81003-3173
Phone 719-542-1313 · Fax 719-542-9140
Authorized official
Eric Neufeld
Owner
7195421313
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