Stephanie Kim, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5008 W 92ND Ave
Westminster, CO 80031-6302

Phone

(303) 412-7035

NPI assigned

Nov 25, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Feldhake Physical Therapy LTDGroup PAC ID 0648238410, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Feldhake Physical Therapy, LTD.

  • Orthopedic Physical Therapist
  • Denver, CO
  • NPI 1124103155
  Medicare reassignment Care Compare group
• Premier Physical Therapy, LLC

  • Physical Therapist
  • Westminster, CO
  • NPI 1407249774
  NPD
• Premier Physical Therapy

  • Physical Therapist
  • Westminster, CO
  • NPI 1790223477
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1265199129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 PROMENADE DR N APT 307",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800204206"
        },
        {
            "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": [
        {
            "address_1": "909 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752461520",
            "country_code": "US",
            "telephone_number": "314-820-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-25",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1355481",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids First Health Care
• Kids First Health Care
• Kidstuff Child and Family Counseling, P.C.
• Angela Rose Kill, M.D.
• Joann Kim
• Glenn Tetsuo Kimata, M.D.
• Rhonda L Kimble, M.A., L.P.C.
• Mark P Kinard, D.D.S.
• Codi Cheyenne Kincaid, CCC-SLP
• Emily Clare Ann Kindvall, DPT

• Physical Therapist in Westminster, CO
• Providers in Westminster, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.