Kevin Macomber, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

6401 Issued in CO

Practice address

9137 S. Ridgeline Blvd
Ste 140
Highlands Ranch, CO 80129-8012

Phone

(303) 683-1877

Fax

(303) 683-1484

NPI assigned

May 5, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Above It All Physical Therapy, PLLCGroup PAC ID 9830249549, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Above It All Physical Therapy, PLLC

  • Multi-Specialty Clinic/Center
  • Highlands Ranch, CO
  • NPI 1588890354
  Medicare reassignment Care Compare group NPD Authorized official
• Generations Above It All Rehabilitation

  • Physical Therapist
  • Highlands Ranch, CO
  • NPI 1508269259
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003864711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 S. RIDGELINE BLVD",
            "address_2": "STE 140",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-683-1877",
            "fax_number": "303-683-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 S. RIDGELINE BLVD",
            "address_2": "STE 140",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801298012",
            "telephone_number": "303-683-1877",
            "fax_number": "303-683-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACOMBER",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "6401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni James Lutman, MSN, FNP-C
• Luxottica of America Inc. (Target Optical #7487)
• Tristan Lyle
• Aaron Gordon Scott Macbrayne, PHARMD.
• Kelsey Macdonald, MT
• Rachel Renee Mahoney, LCSW
• Main Street Pharmacy, L.L.C. (CVS Pharmacy #48594)
• Erin Kimberly Main, M.D.
• Lori Lee Main, RN
• Nicole Majerus

• Specialist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.