Individual provider Active NPI

Andrea Kesslen Barsch, PT

  • Orthopedic Physical Therapist
  • Boulder, CO
National Provider Identifier
1215069505
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4242 Issued in CO
Practice address
University of Colorado Boulder Wardenburg Health Ctr
Ucb 119
Boulder, CO 80309-0119
Phone
(303) 492-6280
Fax
(303) 492-1248
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 4242 CO Primary

Addresses

Primary practice location

University of Colorado Boulder Wardenburg Health Ctr
Ucb 119
Boulder, CO 80309-0119

Mailing address

1865 Yarmouth Ave
Boulder, CO 80304-0568
Phone (303) 443-5785

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

LicenseStateTypeSpecialty
4242COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215069505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 YARMOUTH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040568",
            "telephone_number": "303-443-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF COLORADO BOULDER WARDENBURG HEALTH CTR",
            "address_2": "UCB 119",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803090119",
            "telephone_number": "303-492-6280",
            "fax_number": "303-492-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSCH",
        "first_name": "ANDREA",
        "middle_name": "KESSLEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "4242",
            "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.

Verify at the official NPI Registry.