Organization Active NPI

KT Physical Therapy, PC

  • Clinic/Center
  • Aurora, CO
National Provider Identifier
1154515815
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1864 Issued in CO
Legal business name
KT PHYSICAL THERAPY, PC
Practice address
2993 S. Peoria Street
Suite 104
Aurora, CO 80014-5704
Phone
(720) 747-8444
Fax
(720) 747-4712
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Karen Tanaka, PT
Title
President
Phone
(720) 747-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1864 CO Primary

Addresses

Primary practice location

2993 S. Peoria Street
Suite 104
Aurora, CO 80014-5704

Mailing address

2993 S. Peoria Street
Suite 104
Aurora, CO 80014-5704
Phone (720) 747-8444

National Provider Directory

National Provider Directory

Locations

2993 S Peoria St
Ste 104
Aurora, CO 80014
Phone (303) 818-9542

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1154515815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 S. PEORIA STREET",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145704",
            "telephone_number": "720-747-8444",
            "fax_number": "720-747-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 S. PEORIA STREET",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145704",
            "telephone_number": "720-747-8444",
            "fax_number": "720-747-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KT PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-747-8444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.