Active NPI
Marcy Kroonenberg
- Physical Therapist
- Englewood, CO
National Provider Identifier
1235679754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4386
- Practice address
- 300 E Hampden Ave
Suite 100
Englewood, CO 80113-2638 - Phone
- (303) 781-2181
- NPI assigned
- Mar 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 4386 | CO | Primary |
Addresses
Primary practice location
300 E Hampden Ave
Suite 100
Englewood, CO 80113-2638
Mailing address
9231 Aspen Creek Way
Highlands Ranch, CO 80129-1522
Phone (720) 351-9492
Other names 1
- Marcy Kroonenberg
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 |
|---|---|---|---|
| 4386 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1235679754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9231 ASPEN CREEK WAY",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801291522",
"telephone_number": "720-351-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E HAMPDEN AVE",
"address_2": "SUITE 100",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132638",
"telephone_number": "303-781-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROONENBERG",
"first_name": "MARCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCY",
"last_name": "KROONENBERG",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.