Individual provider Active NPI

Kaitlynn L.C. McKirgan, PT, DPT

  • Physical Therapist
  • Loveland, CO
National Provider Identifier
1114402146
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019615 Issued in CO
Practice address
730 14TH St SW Ste 200
Loveland, CO 80537-6349
Phone
(970) 663-0815
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 137691 AK
Physical Therapist 225100000X PTL.0019615 CO Primary

Addresses

Primary practice location

730 14TH St SW Ste 200
Loveland, CO 80537-6349

Mailing address

1364 Opportunity Way
Fairbanks, AK 99709-6034
Phone (907) 388-0834

Other practice location 1

3455 Rewak Dr Ste 106
Fairbanks, AK 99709-5024
Phone (907) 457-5322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605003963 CO Practitioner - Physical Therapist in Private Practice 4688116601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, 530 clinicians

Practice addresses (Care Compare)

375 E Horsetooth Road
BLDG 4 Suite 104 SE PT
Fort Collins, CO 80525
Phone (970) 286-2868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
137691AKMDPhysical Therapist
PTL.0019615COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy of West Denver Limited Partnership Current Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince May 15, 2024 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince May 15, 2024 Accepting new patients

Locations

375 E Horsetooth Rd
Ste 4
Fort Collins, CO 80525
Phone (970) 286-2868

375 E Horsetooth Rd
Ste 104
Fort Collins, CO 80525
Phone (970) 286-2868

4617 W 20th St
Unit A
Greeley, CO 80634
Phone (970) 352-9022

2964 Ginnala Dr
Loveland, CO 80538
Phone (970) 663-6998

3880 Grant Ave
Ste 100
Loveland, CO 80538
Phone (970) 663-7780

8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622

Organizations & group practices 6

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1114402146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 OPPORTUNITY WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096034",
            "telephone_number": "907-388-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 14TH ST SW STE 200",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805376349",
            "telephone_number": "970-663-0815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Rewak Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997095024",
            "country_code": "US",
            "telephone_number": "907-457-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIRGAN",
        "first_name": "KAITLYNN",
        "middle_name": "L.C.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "137691",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019615",
            "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 May 6, 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.