Kathleen Hertzke

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0012576 Issued in CO

Practice address

2912 42ND Ave
Greeley, CO 80634-9581

Phone

(970) 339-0011

Fax

(970) 339-0068

NPI assigned

Apr 23, 2015

Last updated

Apr 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1336536762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 PELICAN CV",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805506125",
            "telephone_number": "970-674-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 42ND AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349581",
            "telephone_number": "970-339-0011",
            "fax_number": "970-339-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZKE",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0012576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Viridiana Herrera
• Guadalupe I Herrera
• Maria Elizabeth Herrera, MEDICAL INTERPRETER
• Thomas Lee Herrera Jr., DDS
• Jessica Hersh, DO
• Sarah Hervey, MA, LAC, LPC
• Art Hess III, RPH
• Jenna Marie Hessler, MD
• Casey Heyne
• Jaclyn Hickey

• Physical Therapy Assistant in Greeley, CO
• Providers in Greeley, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.