Individual provider Active NPI

Katherine E Siros, PT, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1326396334
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13751 Issued in CO
Practice address
702 W Drake Road, BLDG E, Ste a
Fort Collins, CO 80526-5556
Phone
(970) 416-8342
Fax
(970) 416-8344
NPI assigned
Aug 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 13751 CO Primary
Physical Therapist 225100000X 9949 AZ

Addresses

Primary practice location

702 W Drake Road, BLDG E, Ste a
Fort Collins, CO 80526-5556

Mailing address

702 W Drake Rd BLDG E Ste a
Fort Collins, CO 80526-5556
Phone (970) 416-8342

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
9949AZMDOtolaryngology Physician
13751COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1326396334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD BLDG E STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265556",
            "telephone_number": "970-416-8342",
            "fax_number": "970-416-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W DRAKE ROAD, BLDG E, STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265556",
            "telephone_number": "970-416-8342",
            "fax_number": "970-416-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROS",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "13751",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "practice office address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Fort Collins",
            "address_1": "702 W Drake Road, Bldg E, Ste A",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805265556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.