Kelly K. Murtagh, MSPT
Individual provider Active NPI Physical Therapist · Berthoud, CO
NPI 1104973387 · NPPES record last updated Aug 23, 2016
Key facts
- NPI
- 1104973387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6456 (CO)
- Practice address
- 516 Mountain Avenue
Berthoud, CO 80513 - Phone
- (970) 532-7500
- Fax
- (970) 532-7510
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Virginia Commonwealth University, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
516 Mountain Ave
Berthoud, CO 80513-5000
Phone (970) 532-7500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101228000831 | CO | Practitioner - Physical Therapist in Private Practice | 4688862196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6456 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berthoud Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Berthoud Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6456 | CO | Yes |
Addresses
Primary practice location
516 Mountain Avenue
Berthoud, CO 80513
Mailing address
PO Box 1848
Berthoud, CO 80513-1848
Phone (970) 532-7500
Other providers in Berthoud, CO
- Kristen McFarland
- Meghan McKechnie
- Sarah Meeker
- Katherine Christianne Miswell
- Mountain Ridge Dentistry
- Margaret Murtagh
- New Paradigm Medical, PC
- Melissa Diane Ott
- Owens Dental Berthoud, P.C.
- Katherine Breanne Patrick
All providers in Berthoud, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.