Individual provider Active NPI

Kaitlyn Flynn, PT, DPT, SCS

  • Sports Physical Therapist
  • Parker, CO
National Provider Identifier
1104363787
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PTL.0013928 Issued in CO
Practice address
9399 Crown Crest Blvd
Suite 300
Parker, CO 80138-8506
Phone
(720) 777-6710
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PTL.0013928 CO Primary
Sports Physical Therapist 2251S0007X 037416 NY

Addresses

Primary practice location

9399 Crown Crest Blvd
Suite 300
Parker, CO 80138-8506

Mailing address

9399 Crown Crest Blvd
Suite 300
Parker, CO 80138-8506
Phone (720) 777-6710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307001566 CO Practitioner - Physical Therapist in Private Practice 3678946910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6499 E Seneca Tpke
Jamesville, NY 13078-2800

PO Box
Suite 340
New Hartford, NY 13413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0013928COMDSports Physical Therapist
037416NYMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 21, 2023 Accepting new patients
Children'S Hospital Colorado Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 21, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 21, 2023 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

Interoperability endpoints

  • Direct secure messaging: kflynn92818@direct.childrenscolorado.org

Organizations & group practices 5

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1104363787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD",
            "address_2": "SUITE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388506",
            "telephone_number": "720-777-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD",
            "address_2": "SUITE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388506",
            "telephone_number": "720-777-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "KAITLYN",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "PTL.0013928",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "037416",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 20, 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.