Kenadi Miranda Grumski, DPT
Individual provider Active NPI Physical Therapist · Peyton, CO
NPI 1285326801 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1285326801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- MSPTL.0000032 (CO)
- Practice address
- 7622 McLaughlin Rd
Peyton, CO 80831-4710 - Phone
- (719) 495-3133
- Fax
- (719) 495-8685
- NPI assigned
- May 23, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Falcon Physical Therapy and Fitness
Practice addresses (Care Compare)
7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone (719) 495-3133
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSPTL.0000032 | CO | MD | Physical Therapist |
| PT40215 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| His Business Not Mine, Inc | Physical Therapist | Current |
Accepting new patients |
| Provec Rehab PLLC | Physical Therapist | Current |
Accepting new patients |
| Falcon Physical Therapy and Fitness | Physical Therapist | Current |
Accepting new patients |
| Falcon Physical Therapy and Fitness | Physical Therapist | Current |
Accepting new patients |
Locations
6385 Corporate Dr
Ste 307
Colorado Springs, CO 80919
Phone (719) 219-9751
3586 Hartsel Dr
Ste B
Colorado Springs, CO 80920
Phone (719) 471-4430
12229 Voyager Pkwy
Ste 150
Colorado Springs, CO 80921
Phone (719) 488-0120
7622 McLaughlin Rd
Peyton, CO 80831
Phone (719) 495-3133
417 5th Ave
Apt 101B
Indialantic, FL 32903
Phone (321) 327-7889
417 5th Ave
Apt 101
Indialantic, FL 32903
Phone (305) 304-7842
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MSPTL.0000032 | CO | Yes |
| 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
Other providers in Peyton, CO
- Ginger K. Spence, LPC LLC
- Good Life Chiropractic LLC
- Holly R Gray
- Kassi Richele Greer
- Michael D Grubbs
- John Charles Haeseker
- Sylvia Harrington
- Julie Hartman
- Jonathan Royle Harvey
- Healing Comfort Home Care, Inc
All providers in Peyton, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.