Kelly Jo Meetz, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0007646 Issued in CO

Practice address

3386 Alkire Way
Golden, CO 80401-1657

Phone

(303) 777-4511

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wiggle Monkey Physical Therapy, PC

  • Physical Therapist
  • Golden, CO
  • NPI 1053632141

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1184841546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 ALKIRE WAY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011657",
            "telephone_number": "303-777-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 ALKIRE WAY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011657",
            "telephone_number": "303-777-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEETZ",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0007646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184841546",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@wigglemonkeypt.com",
            "affiliation": "N",
            "address_1": "3386 Alkire Way",
            "city": "Golden",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804011657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meagan Geurts LCSW, LLC
• Susan Armstrong Medeiros, LCSW
• Kerry Tomoko Medenwald, MA-CCC
• Medical Modeling Inc
• Wendi Medved, PHARMD
• Eric Robert Mehlberg, MD
• Melissa Forrow LLC
• Erica Melkonian, DO
• Caymen Abbey Menard, PT, DPT
• Kristopher Mendoza, DDS

• Physical Therapist in Golden, CO
• Providers in Golden, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.