Active NPI
Kirsten W. Whiting, CMS, DPT
- Physical Therapist
- Boulder, CO
National Provider Identifier
1205904802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8609
- Practice address
- 2400 Spruce St Ste 101
Boulder, CO 80302-4716 - Phone
- (303) 440-3359
- Fax
- (303) 545-9527
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 8609 | CO | Primary |
Addresses
Primary practice location
2400 Spruce St Ste 101
Boulder, CO 80302-4716
Mailing address
400 E Elm St
Lafayette, CO 80026-2566
Phone (303) 440-3359
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 |
|---|---|---|---|
| 8609 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Dermatology, P.C. | Past | Accepting new patients | |
| Soma Physical Therapy | Physical Therapist | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1174776009
-
- Physical Therapist
- Boulder, CO
- NPI 1396801114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205904802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E ELM ST",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262566",
"telephone_number": "303-440-3359",
"fax_number": "303-545-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SPRUCE ST STE 101",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024716",
"telephone_number": "303-440-3359",
"fax_number": "303-545-9527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "KIRSTEN",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "CMS, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.