Individual provider Active NPI

Kelsey Berg, DPT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1265856371
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0012517 Issued in CO
Practice address
1390 S Potomac St Ste 114
Aurora, CO 80012-4529
Phone
(303) 745-6717
Fax
(303) 337-7944
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 0012517 CO Primary

Addresses

Primary practice location

1390 S Potomac St Ste 114
Aurora, CO 80012-4529

Mailing address

1390 S Potomac St Ste 114
Aurora, CO 80012-4529
Phone (303) 745-6717

Other practice location 1

8510 Bryant St
Suite 360
Westminster, CO 80031-3844
Phone (303) 650-7973

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

LicenseStateTypeSpecialty
0012517COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraphysics Partners of Colorado, Inc. PastSince Jul 24, 2022 Accepting new patients
Theraphysics Partners of Colorado Inc PastSince Jul 24, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265856371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 114",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-745-6717",
            "fax_number": "303-337-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 114",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-745-6717",
            "fax_number": "303-337-7944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8510 Bryant St",
            "address_2": "Suite 360",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800313844",
            "country_code": "US",
            "telephone_number": "303-650-7973",
            "fax_number": "303-650-7975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.