Individual provider Active NPI

Kaitlyn Feather

  • Physical Therapist
  • Greeley, CO
National Provider Identifier
1114610292
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019986 Issued in CO
Practice address
4617 W 20TH St Unit a
Greeley, CO 80634-3207
Phone
(970) 352-9022
Fax
(970) 352-9048
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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.0019986 CO Primary

Addresses

Primary practice location

4617 W 20TH St Unit a
Greeley, CO 80634-3207

Mailing address

4617 W 20TH St Unit a
Greeley, CO 80634-3207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240304002864 MA Practitioner - Physical Therapist in Private Practice 6204271968 Reassigns benefits to 1 organization
I20250927000276 CO Practitioner - Physical Therapist in Private Practice 6204271968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

63 Pleasant St
Suite 2
Watertown, MA 02472-2387
Phone (603) 427-8066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0019986COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Sep 15, 2025 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Sep 15, 2025 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Current Accepting new patients
Proex Physical Therapy, LLC CurrentSince Feb 12, 2024 Accepting new patients
Proex Physical Therapy, LLC PastSince Jun 1, 2023 Accepting new patients

Locations

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

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

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

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

63 Pleasant St
Ste 2
Watertown, MA 02472
Phone (603) 427-8066

63 Pleasant St
Fl 2
Watertown, MA 02472
Phone (617) 213-1335

576 Broadhollow Rd
Melville, NY 11747

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": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114610292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 W 20TH ST UNIT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 W 20TH ST UNIT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343207",
            "telephone_number": "970-352-9022",
            "fax_number": "970-352-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEATHER",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.