Active NPI
Kimberly R Phelps, PT
- Physical Therapist
- Parker, CO
National Provider Identifier
1043477763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2435
- Practice address
- 10001 S Oswego St
Parker, CO 80134-3786 - Phone
- (303) 790-1910
- Fax
- (303) 792-2479
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2435 | CO | Primary |
Addresses
Primary practice location
10001 S Oswego St
Parker, CO 80134-3786
Mailing address
5173 S Tabor Way
Littleton, CO 80127-6240
Phone (303) 790-1910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86603230 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2435 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1043477763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5173 S TABOR WAY",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801276240",
"telephone_number": "303-790-1910",
"fax_number": "303-792-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 S OSWEGO ST",
"city": "PARKER",
"state": "CO",
"postal_code": "801343786",
"telephone_number": "303-790-1910",
"fax_number": "303-792-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "KIMBERLY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86603230",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.