Andrew R Stephenitch, MPT
Individual provider Active NPI Physical Therapist · Lone Tree, CO
NPI 1003943044 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1003943044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7873 (CO)
- Practice address
- 10240 Park Meadows Dr
Lone Tree, CO 80124-5425 - Phone
- (303) 338-4545
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050819000353 | CO | Practitioner - Physical Therapist in Private Practice | 7416987342 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Permanente Medical Group, P.C. | Current |
Accepting new patients | |
| Brian Fee P.T., P. C. | Physical Therapist | Past | Accepting new patients |
Locations
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
2045 N Franklin St
Denver, CO 80205
Phone (303) 764-4666
14701 E Exposition Ave
Denver, CO 80012
Phone (303) 614-7373
10240 Park Meadows Dr
Lone Tree, CO 80124
Phone (303) 649-5639
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7873 | CO | Yes |
Addresses
Primary practice location
10240 Park Meadows Dr
Lone Tree, CO 80124-5425
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-3382
Other practice location 1
2045 N Franklin St
Denver, CO 80205-5437
Phone (303) 338-4545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69200271 | Medicaid | CO | |
| 015422 | Other | KAISER-COMMERCIAL NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) | |
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Lone Tree, CO
- Kristi R Stark
- Rachael Lynn Stark
- Theodore Harry Stathos
- Cody James Stein
- Michelle R Stelter
- Emily Marie Stephens
- Kathryn Immele Stephens
- Aubrie Stevens Smith
- Lora Jean Stewart
- Still Waters Mental Health, LLC
All providers in Lone Tree, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.