Individual provider Active NPI

Karen S Vonderhaar, MS, PT, OCS

  • Orthopedic Physical Therapist
  • Westminster, CO
National Provider Identifier
1053492074
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8750 Issued in CO
Practice address
11025 N. Dover St
Suite 400
Westminster, CO 80021
Phone
(303) 446-2200
Fax
(303) 446-2201
NPI assigned
Oct 17, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8750 CO Primary

Addresses

Primary practice location

11025 N. Dover St
Suite 400
Westminster, CO 80021

Mailing address

PO Box 270217
Louisville, CO 80027-5003
Phone (303) 446-2200

Other identifiers 2

IdentifierTypeStateIssuer
IMS67413OtherBCBS
A002OtherTRICARE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8750COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mustard Seed Wellness, PC Past Accepting new patients
Back to Health LLC PastSince Jun 18, 2007 Accepting new patients
Impact Sports Medicine PC Past Accepting new patients
Vail Clinic, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1053492074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270217",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800275003",
            "telephone_number": "303-446-2200",
            "fax_number": "303-446-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 N. DOVER ST",
            "address_2": "SUITE 400",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-446-2200",
            "fax_number": "303-446-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDERHAAR",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "MS, PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "8750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "IMS67413",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.