Kaitlyn Detlefsen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0019829 Issued in CO

Practice address

2482 Patterson Rd # 100
Grand Junction, CO 81505-3601

Phone

(970) 486-3815

NPI assigned

May 18, 2024

Last updated

May 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

• Western Slope Accident Care, LLC

  dba Western Slope Accident Care

  • Physical Therapy Clinic/Center
  • Grand Junction, CO
  • NPI 1679248470

  Physical Therapist

  NPD

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1013766294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3891 COUNTY ROAD 214",
            "city": "SILT",
            "state": "CO",
            "postal_code": "816529511",
            "telephone_number": "970-456-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 PATTERSON RD # 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053601",
            "telephone_number": "970-486-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETLEFSEN",
        "first_name": "KAITLYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Depalma
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• Desert Sand, LLC
• Desert Sun Medical Center, P.C.
• Autumn Detor, LCSW
• Katelyn Miranda Deveraux, DO
• Julie Devin, LCSW
• Kimberly Dewitt
• Jazmin Angelica Di Gregorio

• Physical Therapist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.