Individual provider Active NPI

Kathleen A Chewakin, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1265958201
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2754 Issued in CO
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

Updated by the provider on Aug 19, 2019

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 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.

Verify at the official NPI Registry.