Active NPI
Kady Stachowiak, PT
- Physical Therapist
- Greenwood Village, CO
National Provider Identifier
1134476989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019211
- Practice address
- 6000 Greenwood Plaza Blvd
#230
Greenwood Village, CO 80111-4816 - Phone
- (303) 542-0112
- Fax
- (720) 496-4601
- NPI assigned
- Aug 11, 2012
- 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 | 070019211 | IL | Primary |
Addresses
Primary practice location
6000 Greenwood Plaza Blvd
#230
Greenwood Village, CO 80111-4816
Mailing address
305 NE Loop 820
Business Tower 1 Suite 200
Hurst, TX 76053-7209
Phone (817) 292-8787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070019211 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1134476989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE LOOP 820",
"address_2": "BUSINESS TOWER 1 SUITE 200",
"city": "HURST",
"state": "TX",
"postal_code": "760537209",
"telephone_number": "817-292-8787",
"fax_number": "817-789-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 GREENWOOD PLAZA BLVD",
"address_2": "#230",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114816",
"telephone_number": "303-542-0112",
"fax_number": "720-496-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACHOWIAK",
"first_name": "KADY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-11",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.