Active NPI
Kellie Greenough
- Physical Therapist
- Loveland, CO
National Provider Identifier
1124931571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0015272
- Practice address
- 2465 Moorgate Dr
Loveland, CO 80538-5213 - Phone
- (845) 325-1096
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 0015272 | CO | Primary |
Addresses
Primary practice location
2465 Moorgate Dr
Loveland, CO 80538-5213
Mailing address
2465 Moorgate Dr
Loveland, CO 80538-5213
Phone (845) 325-1096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1124931571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 MOORGATE DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385213",
"telephone_number": "845-325-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 MOORGATE DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385213",
"telephone_number": "845-325-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENOUGH",
"first_name": "KELLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0015272",
"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 Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.