Individual provider Active NPI

Kendra Lee Alley, M.S.P.T.

  • Physical Therapist
  • Greenwood Village, CO
National Provider Identifier
1336156454
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7435 Issued in CO
Practice address
5801 S Quebec St
#100
Greenwood Village, CO 80111-2003
Phone
(303) 694-9193
Fax
(303) 779-0566
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 7435 CO Primary

Addresses

Primary practice location

5801 S Quebec St
#100
Greenwood Village, CO 80111-2003

Mailing address

6979 S Holly Cir
Ste 105
Centennial, CO 80112-1577
Phone (303) 694-2295

Other identifiers 1

IdentifierTypeStateIssuer
102255326OtherOWCP PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000895 CO Practitioner - Physical Therapist in Private Practice 9739218934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feldhake Physical Therapy LTDGroup PAC ID 0648238410, 33 clinicians

Practice addresses (Care Compare)

1550 S Pearl St
Suite 101
Denver, CO 80210-2645
Phone (720) 493-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7435COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coverly Physical Therapy, Inc. CurrentSince Mar 1, 2010 Accepting new patients

Locations

1550 S Pearl St
Ste 101
Denver, CO 80210
Phone (303) 778-7246

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336156454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 S HOLLY CIR",
            "address_2": "STE 105",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121577",
            "telephone_number": "303-694-2295",
            "fax_number": "303-694-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S QUEBEC ST",
            "address_2": "#100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112003",
            "telephone_number": "303-694-9193",
            "fax_number": "303-779-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "KENDRA",
        "middle_name": "LEE",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP PROVIDER ID",
            "identifier": "102255326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.