Individual provider Active NPI

Kenneth Pigue

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1194596726
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4539 Issued in AR
Practice address
12010 Cherry Laurel Dr
Little Rock, AR 72211-4127
Phone
(501) 920-8763
NPI assigned
Jan 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4539 AR Primary

Addresses

Primary practice location

12010 Cherry Laurel Dr
Little Rock, AR 72211-4127

Mailing address

12010 Cherry Laurel Dr
Little Rock, AR 72211-4127
Phone (501) 920-8763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923001777 CO Practitioner - Physical Therapist in Private Practice 9638610280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uchealth Community ServicesGroup PAC ID 5395024905, 130 clinicians

Practice addresses (Care Compare)

8155 Piney River Ave
Suite 100
Littleton, CO 80125-8729
Phone (303) 265-3380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4539ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Community Services Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients
Uchealth Community Services Physical Therapist PastSince Apr 6, 2025 Accepting new patients

Locations

4404 Barranca Ln
Ste 106
Castle Rock, CO 80104
Phone (720) 733-5280

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

175 Inverness Dr W
Ste 130
Englewood, CO 80112

175 Inverness Dr W
Ste 100
Greenwood Village, CO 80112
Phone (303) 964-3333

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1194596726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 CHERRY LAUREL DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114127",
            "telephone_number": "501-920-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 CHERRY LAUREL DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114127",
            "telephone_number": "501-920-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGUE",
        "first_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.