Organization
COLORADO ORTHOPEDIC REHABILITATION SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY GENE SCHOONVELD MPT, MTC (PRESIDENT/OWNER)
(303) 457-2022
Entity
Organization
Contact information
Practice address
11325 N. COLORADO BLVD, THORNTON, CO 80233
(303) 457-2022
(303) 457-2320
Mailing address
11325 N. COLORADO BLVD, THORNTON, CO 80233
(303) 457-2022
(303) 457-2320
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6712
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28606264
—
CO
01
—
605038800
OWCP
CO
01
—
7238042
CIGNA
CO
01
—
SCSC6685
ANTHEM BLUE CROSS
CO
Enumeration date
01/29/2007
Last updated
08/17/2016
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