Organization · NPI-2

Integrated Rehab Consultants Colorado LLC

Physical Medicine & Rehabilitation · Parker, CO

NPI number1104398106

StatusActive

Last updated in NPPESJun 10, 2025

Details

NPI: 1104398106
Entity type: Organization (NPI-2)
Legal business name: Integrated Rehab Consultants Colorado LLC
Organization subpart: No
Enumeration date: Jan 2, 2019
Certification date: Jun 10, 2025
Last updated: Jun 10, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208100000X	Physical Medicine & Rehabilitation	–	–	Yes

Practice location

12230 Lioness Way
Parker, CO 80134-5603

Phone 312-635-0973 · Fax 702-973-9444

Mailing address

Po Box 7410886
Chicago, IL 60674-0886

Phone 312-635-0973 · Fax 312-635-0050

Authorized official

Amish Manu Patel
Ceo
7257109347

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.