Individual provider Active NPI

Kelsie Cartaya, DPT

  • Physical Therapist
  • Appleton, WI
National Provider Identifier
1215429840
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015611 Issued in CO
Practice address
1101 E South River St
Appleton, WI 54915-2223
Phone
(929) 830-9911
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 PTL.0015611 CO Primary

Addresses

Primary practice location

1101 E South River St
Appleton, WI 54915-2223

Mailing address

1003 Depot St
Little Chute, WI 54140-1829
Phone (608) 393-3665

Other practice location 1

337 White Cedar Pkwy Apt F
Kimberly, WI 54136-3410
Phone (608) 393-3665

Other practice location 2

6854 S Dallas Way
Greenwood Village, CO 80112-3621
Phone (303) 741-0990

Other practice location 3

3540 S Poplar St Ste 202
Denver, CO 80237-1362
Phone (720) 763-9039

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015611COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldleaf Homehealth, LLC Past Accepting new patients

Organizations & group practices 1

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1215429840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 DEPOT ST",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541401829",
            "telephone_number": "608-393-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E SOUTH RIVER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152223",
            "telephone_number": "929-830-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 White Cedar Pkwy Apt F",
            "address_purpose": "LOCATION",
            "city": "Kimberly",
            "state": "WI",
            "postal_code": "541363410",
            "country_code": "US",
            "telephone_number": "608-393-3665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6854 S Dallas Way",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801123621",
            "country_code": "US",
            "telephone_number": "303-741-0990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3540 S Poplar St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802371362",
            "country_code": "US",
            "telephone_number": "720-763-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTAYA",
        "first_name": "KELSIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2022-10-26",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.