Individual provider Active NPI

Cassidy Kalil, DPT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1265195077
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5008 W 92ND Ave
Westminster, CO 80031-6302
Phone
(303) 412-7035
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 Primary

Addresses

Primary practice location

5008 W 92ND Ave
Westminster, CO 80031-6302

Mailing address

5008 W 92ND Ave
Westminster, CO 80031-6302
Phone (303) 412-7035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025001734 CO Practitioner - Physical Therapist in Private Practice 9436547445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy, LLCGroup PAC ID 8527387877, 17 clinicians

Practice addresses (Care Compare)

5008 W 92ND Ave
Suite a 3
Westminster, CO 80031-6302
Phone (303) 412-7035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy, LLC Physical Therapist CurrentSince Sep 15, 2021 Accepting new patients
Premier Physical Therapy Physical Therapist PastSince Sep 15, 2021 Accepting new patients

Locations

5008 W 92nd Ave
Ste A3
Westminster, CO 80031
Phone (303) 412-7035

5008 W 92nd Ave
Westminster, CO 80031
Phone (303) 412-7035

3501 Highland Pl
Westminster, CO 80031
Phone (303) 412-7035

Organizations & group practices 2

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1265195077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 W 92ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316302",
            "telephone_number": "303-412-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 W 92ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316302",
            "telephone_number": "303-412-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIL",
        "first_name": "CASSIDY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.