Active NPI
Kathleen A Chewakin, PT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1265958201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2754
- Practice address
- 3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918 - Phone
- (719) 265-6601
- NPI assigned
- Aug 22, 2017
- 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 | 2754 | CO | Primary |
Addresses
Primary practice location
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Mailing address
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone (719) 265-6601
Other practice location 1
3854 Village Seven Rd
Colorado Springs, CO 80917-2801
Phone (719) 574-8761
Other practice location 2
6005 DelMonico Dr Ste 130
Colorado Springs, CO 80919-2265
Phone (719) 599-7401
Other practice location 3
5988 Stetson Hills Blvd
Colorado Springs, CO 80923-3567
Phone (719) 574-3111
Other practice location 4
5988 Stetson Hills Blvd
Colorado Springs, CO 80923-3567
Phone (719) 574-3111
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1265958201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186630",
"telephone_number": "719-265-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80918",
"telephone_number": "719-265-6601"
}
],
"practiceLocations": [
{
"address_1": "3854 Village Seven Rd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809172801",
"country_code": "US",
"telephone_number": "719-574-8761",
"fax_number": "719-574-8236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6005 DelMonico Dr Ste 130",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809192265",
"country_code": "US",
"telephone_number": "719-599-7401",
"fax_number": "719-599-8223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5988 Stetson Hills Blvd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809233567",
"country_code": "US",
"telephone_number": "719-574-3111",
"fax_number": "719-574-2912",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5988 Stetson Hills Blvd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809233567",
"country_code": "US",
"telephone_number": "719-574-3111",
"fax_number": "719-574-2912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEWAKIN",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2754",
"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 Aug 19, 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.