Individual provider Active NPI

Kevin Matthew Rhodes, OTR, CHT

  • Hand Occupational Therapist
  • Loveland, CO
National Provider Identifier
1053385799
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
634 Issued in CO
Practice address
107 W 29TH St
Ste 100
Loveland, CO 80538-2797
Phone
(970) 663-6142
Fax
(970) 635-3087
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 634 CO Primary

Addresses

Primary practice location

107 W 29TH St
Ste 100
Loveland, CO 80538-2797

Mailing address

107 W 29TH St
Ste 100
Loveland, CO 80538-2797
Phone (970) 663-6142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060803000360 CO Practitioner - Occupational Therapist in Private Practice 7315950680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Sports and Physical Therapy P.CGroup PAC ID 0042106098, 21 clinicians

Practice addresses (Care Compare)

107 W 29TH St
Suite 100
Loveland, CO 80538-2200
Phone (970) 663-6142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
634COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports & Physical Therapy, P.C. CurrentSince Mar 6, 2017 Accepting new patients
Harmony Hand & Physical Therapy Center, Inc Past Accepting new patients

Locations

3500 John F Kennedy Pkwy
Ste 120
Fort Collins, CO 80525
Phone (970) 663-6142

1300 Riverside Ave
Ste 100
Fort Collins, CO 80524
Phone (970) 663-6142

107 W 29th St
Ste 100
Loveland, CO 80538
Phone (970) 663-6142

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1053385799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 29TH ST",
            "address_2": "STE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382797",
            "telephone_number": "970-663-6142",
            "fax_number": "970-635-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 29TH ST",
            "address_2": "STE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382797",
            "telephone_number": "970-663-6142",
            "fax_number": "970-635-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CO",
            "license": "634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.