Karin Edwards, PT

Individual provider Active NPI Physical Therapist · Estes Park, CO

NPI 1144370313 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1144370313
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6965 (CO)
Practice address
1632A Big Thompson Ave
Estes Park, CO 80517-8938
Phone
(970) 577-8200
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Estes Park Physical Therapy PLLC (3 clinicians)

Practice addresses (Care Compare)

1191 Woodstock Dr
Unit 2
Estes Park, CO 80517-5414
Phone (970) 236-2535

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070420000107 CO Practitioner - Physical Therapist in Private Practice 1254302540 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1291AKMDPhysical Therapist
6965COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Pole Physical Therapy, Inc Past
since Jan 1, 1999
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6965 CO Yes
Physical Therapist 225100000X 1291 AK

Addresses

Primary practice location

1632A Big Thompson Ave
Estes Park, CO 80517-8938

Mailing address

1020 Acacia Dr
Estes Park, CO 80517-7337
Phone (970) 586-1633

Other providers in Estes Park, CO

All providers in Estes Park, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.