Individual provider Active NPI

Kari K Micheel, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1356644165
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16489 Issued in CO
Practice address
3801 E Florida Ave Ste 330
Denver, CO 80210-2546
Phone
(303) 370-2670
Fax
(303) 370-2696
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 070017159 IL
Physical Therapist 225100000X 16489 CO Primary

Addresses

Primary practice location

3801 E Florida Ave Ste 330
Denver, CO 80210-2546

Mailing address

3801 E Florida Ave Ste 330
Denver, CO 80210-2546
Phone (303) 370-2670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191205000134 CO Practitioner - Physical Therapist in Private Practice 3173703451 Reassigns benefits to 1 organization
I20220927003670 WA Practitioner - Physical Therapist in Private Practice 3173703451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Pro, IncGroup PAC ID 0941394753, 27 clinicians

Practice addresses (Care Compare)

3801 E Florida Ave
330 Evolution PT
Denver, CO 80210-2571
Phone (303) 370-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16489COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Pro, Inc. Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Physio Pro, Inc. Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Multicare Health System CurrentSince Sep 9, 2022 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Sep 9, 2022 Accepting new patients

Locations

3801 E Florida Ave
Ste 330
Denver, CO 80210
Phone (303) 370-2670

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

2727 Hollycroft St
Ste 310
Gig Harbor, WA 98335
Phone (253) 514-6757

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 5

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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1356644165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102546",
            "telephone_number": "303-370-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102546",
            "telephone_number": "303-370-2670",
            "fax_number": "303-370-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEEL",
        "first_name": "KARI",
        "middle_name": "K",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017159",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "16489",
            "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 Feb 28, 2023; 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.