Active NPI
Kimberly K Byrd-Rider, MSPT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1245556620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10614
- Practice address
- 2150 Hollow Brook Dr
Suite 100
Colorado Springs, CO 80918-8413 - Phone
- (719) 599-5330
- Fax
- (719) 599-5438
- NPI assigned
- Apr 11, 2010
- Last updated
- Feb 21, 2019
- 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 | 10614 | CO | Primary |
Addresses
Primary practice location
2150 Hollow Brook Dr
Suite 100
Colorado Springs, CO 80918-8413
Mailing address
37 Evergreen Ave
Key West, FL 33040-6244
Phone (970) 306-1163
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10614 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byrd Riders Healthcare Inc | Current | Accepting new patients | |
| Rea Rehabilitation Services Inc | Past | Accepting new patients | |
| Edge Rehabilitation & Wellness LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Key West, FL
- NPI 1356805774
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1770852006
-
dba Edge Rehabilitation & Wellness
- Rehabilitation Clinic/Center
- Colorado Springs, CO
- NPI 1386719052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1245556620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 EVERGREEN AVE",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330406244",
"telephone_number": "970-306-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 HOLLOW BROOK DR",
"address_2": "SUITE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809188413",
"telephone_number": "719-599-5330",
"fax_number": "719-599-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD-RIDER",
"first_name": "KIMBERLY",
"middle_name": "K",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-11",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.