Individual provider Active NPI

Kyle Ann Lacroix, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1346071958
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19948 Issued in CO
Practice address
1601 E 19TH Ave Ste 4550
Denver, CO 80218-1254
Phone
(303) 830-0018
Fax
(303) 830-3957
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 19948 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 4550
Denver, CO 80218-1254

Mailing address

1601 E 19TH Ave Ste 4550
Denver, CO 80218-1254
Phone (303) 830-0018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916001575 CO Practitioner - Physical Therapist in Private Practice 4880135011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15530 W 64TH Ave Unit E
Rocky Mountain Spine and Sport
Arvada, CO 80007-6874
Phone (303) 424-4589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19948COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 15, 2024 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 15, 2024 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients

Locations

15530 W 64th Ave
Unit E
Arvada, CO 80007
Phone (303) 424-4589

1601 E 19th Ave
Ste 4550
Denver, CO 80218
Phone (303) 830-0018

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1346071958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 4550",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181254",
            "telephone_number": "303-830-0018",
            "fax_number": "303-830-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 4550",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181254",
            "telephone_number": "303-830-0018",
            "fax_number": "303-830-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "KYLE",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19948",
            "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 13, 2024; 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.