Individual provider Active NPI

Kenadi Miranda Grumski, DPT

  • Physical Therapist
  • Peyton, CO
National Provider Identifier
1285326801
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MSPTL.0000032 Issued in CO
Practice address
7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone
(719) 495-3133
Fax
(719) 495-8685
NPI assigned
May 23, 2023
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MSPTL.0000032 CO Primary
Physical Therapist 225100000X PT40215 FL

Addresses

Primary practice location

7622 McLaughlin Rd
Peyton, CO 80831-4710

Mailing address

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000

Other practice location 1

6385 Corporate Dr Ste 307
Colorado Springs, CO 80919-5913
Phone (719) 219-9795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231115003903 FL Practitioner - Physical Therapist in Private Practice 2961859723 Reassigns benefits to 1 organization
I20250521001332 CO Practitioner - Physical Therapist in Private Practice 2961859723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone (719) 495-3133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSPTL.0000032COMDPhysical Therapist
PT40215FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Falcon Physical Therapy and Fitness Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Falcon Physical Therapy and Fitness Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Provec Rehab PLLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
His Business Not Mine, Inc Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

12229 Voyager Pkwy
Ste 150
Colorado Springs, CO 80921
Phone (719) 471-4430

3586 Hartsel Dr
Ste B
Colorado Springs, CO 80920
Phone (719) 471-4430

6385 Corporate Dr
Ste 307
Colorado Springs, CO 80919
Phone (719) 219-9751

7622 McLaughlin Rd
Peyton, CO 80831
Phone (719) 495-3133

417 5th Ave
Apt 101
Indialantic, FL 32903
Phone (305) 304-7842

417 5th Ave
Apt 101B
Indialantic, FL 32903
Phone (321) 327-7889

3830 S Highway A1A
Ste C5
Melbourne Beach, FL 32951
Phone (321) 327-7889

9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 268-7213

Organizations & group practices 4

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1285326801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298935",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314710",
            "telephone_number": "719-495-3133",
            "fax_number": "719-495-8685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6385 Corporate Dr Ste 307",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809195913",
            "country_code": "US",
            "telephone_number": "719-219-9795",
            "fax_number": "719-219-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUMSKI",
        "first_name": "KENADI",
        "middle_name": "MIRANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "MSPTL.0000032",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.