Active NPI
Charles Patrick Kinney, PT, DPT
- Physical Therapist
- Denver, CO
National Provider Identifier
1124453535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0012212
- Practice address
- 1221 S Clarkson St Ste 311
Denver, CO 80210-1628 - Phone
- (720) 432-0155
- Fax
- (720) 634-0802
- NPI assigned
- Sep 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0012212 | CO | Primary |
Addresses
Primary practice location
1221 S Clarkson St Ste 311
Denver, CO 80210-1628
Mailing address
1221 S Clarkson St Ste 311
Denver, CO 80210-1628
Phone (720) 432-0155
Other practice location 1
1040 South Gaylord St. Ste 102
Denver, CO 80209
Phone (303) 818-7190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1221 S Clarkson St
Suite 311
Denver, CO 80210-1628
Phone (720) 432-0155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0012212 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinney Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1221 S Clarkson St
Ste 311
Denver, CO 80210
Phone (720) 432-0155
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.
-
- Orthopedic Physical Therapist
- Denver, CO
- NPI 1699154419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1124453535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S CLARKSON ST STE 311",
"city": "DENVER",
"state": "CO",
"postal_code": "802101628",
"telephone_number": "720-432-0155",
"fax_number": "720-634-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S CLARKSON ST STE 311",
"city": "DENVER",
"state": "CO",
"postal_code": "802101628",
"telephone_number": "720-432-0155",
"fax_number": "720-634-0802"
}
],
"practiceLocations": [
{
"address_1": "1040 South Gaylord St. Ste 102",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80209",
"country_code": "US",
"telephone_number": "303-818-7190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINNEY",
"first_name": "CHARLES",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-05",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0012212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 14, 2018; 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.