Individual provider Active NPI

Sarika M Khanolkar, MHS

  • Physical Therapist
  • Broomfield, CO
National Provider Identifier
1255042941
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018364 Issued in CO
Practice address
520 Zang St Ste 250
Broomfield, CO 80021-8347
Phone
(303) 214-7907
Fax
(720) 925-5897
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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.0018364 CO Primary

Addresses

Primary practice location

520 Zang St Ste 250
Broomfield, CO 80021-8347

Mailing address

5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599

Other practice location 1

3000 Center Green Dr Ste 110
Boulder, CO 80301-2364
Phone (303) 413-9903

Other practice location 2

2801 Youngfield St Ste 390
Golden, CO 80401-2265
Phone (720) 458-6555

Other practice location 3

2750 Broadway St
Boulder, CO 80304-3573
Phone (303) 440-3034

Other practice location 4

2861 W 120th Ave Ste 120
Westminster, CO 80234-2985
Phone (303) 469-6980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201000312 CO Practitioner - Physical Therapist in Private Practice 5193196046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Pain CenterGroup PAC ID 1052469152, 61 clinicians

Practice addresses (Care Compare)

520 Zang St
Suite 250
Broomfield, CO 80021-8347
Phone (303) 214-7907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0018364COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Pain Center Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients

Locations

520 Zang St
Ste 250
Broomfield, CO 80021
Phone (303) 214-7907

5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111

5920 S Estes St
Ste 220
Littleton, CO 80123
Phone (303) 221-1569

11990 Grant St
Ste 300
Northglenn, CO 80233
Phone (303) 442-6647

11990 Grant St
Ste 400
Northglenn, CO 80233
Phone (720) 773-2464

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1255042941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY STE 1130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113038",
            "telephone_number": "720-749-5599",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ZANG ST STE 250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218347",
            "telephone_number": "303-214-7907",
            "fax_number": "720-925-5897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Center Green Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012364",
            "country_code": "US",
            "telephone_number": "303-413-9903",
            "fax_number": "303-413-9907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Youngfield St Ste 390",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804012265",
            "country_code": "US",
            "telephone_number": "720-458-6555",
            "fax_number": "720-749-1387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803043573",
            "country_code": "US",
            "telephone_number": "303-440-3034",
            "fax_number": "303-402-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2861 W 120th Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802342985",
            "country_code": "US",
            "telephone_number": "303-469-6980",
            "fax_number": "303-469-6984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANOLKAR",
        "first_name": "SARIKA",
        "middle_name": "M",
        "credential": "MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.