Active NPI
Kimberly Marie Stark, LMT, CMT
- Massage Therapist
- Denver, CO
National Provider Identifier
1326529264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0020153
- Practice address
- 980 N Grant St Ste 100
Denver, CO 80203-2907 - Phone
- (303) 832-3668
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0020153 | CO | Primary |
Addresses
Primary practice location
980 N Grant St Ste 100
Denver, CO 80203-2907
Mailing address
2682 S Cathay Way Unit 111
Aurora, CO 80013-6047
Phone (610) 203-6198
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0020153 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weekend Warrior Chiropractic | Single Specialty | Past | Accepting new patients |
| Cynergy Chiropractic Center Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Denver, CO
- NPI 1366733065
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1326529264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2682 S CATHAY WAY UNIT 111",
"city": "AURORA",
"state": "CO",
"postal_code": "800136047",
"telephone_number": "610-203-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 N GRANT ST STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802032907",
"telephone_number": "303-832-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "LMT, CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CO",
"license": "0020153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.