Individual provider Active NPI

Kathleen Goforth, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1124399548
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0012049 Issued in CO
Practice address
3401 Quebec St Ste 5005
Denver, CO 80207-2341
Phone
(303) 322-4900
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 40QA01431900 NJ
Physical Therapist 225100000X PTL.0012049 CO Primary

Addresses

Primary practice location

3401 Quebec St Ste 5005
Denver, CO 80207-2341

Mailing address

3401 Quebec St Ste 5005
Denver, CO 80207-2341
Phone (303) 322-4900

Other names 1

  • Kathleen Diffily Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150223000038 CO Practitioner - Physical Therapist in Private Practice 5698935757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Physical Therapy Limited PartnershipGroup PAC ID 9436506698, 26 clinicians

Practice addresses (Care Compare)

2626 E Colfax Ave
Denver, CO 80206-1412
Phone (303) 832-3700

4045 Pecos St
Suite 140
Denver, CO 80211-2560
Phone (720) 277-3910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0012049COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

3401 Quebec St
Ste 5005
Denver, CO 80207
Phone (303) 322-4900

2626 E Colfax Ave
Denver, CO 80206
Phone (303) 382-3700

4045 Pecos St
Ste 140
Denver, CO 80211
Phone (303) 477-5303

32135 Castle Ct
Ste 100A
Evergreen, CO 80439
Phone (303) 325-5329

9695 S Yosemite St
Ste 377
Lone Tree, CO 80124
Phone (303) 800-3789

Organizations & group practices 1

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": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1124399548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 5005",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072341",
            "telephone_number": "303-322-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 5005",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072341",
            "telephone_number": "303-322-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFORTH",
        "first_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01431900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DIFFILY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.