Individual provider Active NPI

Kristi Staniszewski, PT

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1083469290
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0003682 Issued in CO
Practice address
8200 S Quebec St # A3-247
Centennial, CO 80112-4411
Phone
(303) 549-0646
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0003682 CO Primary

Addresses

Primary practice location

8200 S Quebec St # A3-247
Centennial, CO 80112-4411

Mailing address

8200 S Quebec St # A3-247
Centennial, CO 80112-4411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521002391 CO Practitioner - Physical Therapist in Private Practice 6002258118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Bluebird Therapy and WellnessGroup PAC ID 6800250887, 3 clinicians
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Lakewood, CO 80215
Phone (720) 780-1145

Denver, CO 80246
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0003682COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebird Therapy and Wellness Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 9, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 9, 2024 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 9, 2024 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1083469290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S QUEBEC ST # A3-247",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S QUEBEC ST # A3-247",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124411",
            "telephone_number": "303-549-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISZEWSKI",
        "first_name": "KRISTI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0003682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.