Active NPI
Kelly Lynn Sammis, PT
- Physical Therapist
- Louisville, CO
National Provider Identifier
1356659627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11086
- Practice address
- 908 Main St Ste 104
Louisville, CO 80027-1897 - Phone
- (303) 954-8423
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11086 | CO | Primary |
Addresses
Primary practice location
908 Main St Ste 104
Louisville, CO 80027-1897
Mailing address
3400 Larimer St Unit 106
Denver, CO 80205-2573
Phone (614) 390-3970
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11086 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Owners Physical Therapy & Wellness Center, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1720151723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1356659627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LARIMER ST UNIT 106",
"city": "DENVER",
"state": "CO",
"postal_code": "802052573",
"telephone_number": "614-390-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 MAIN ST STE 104",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271897",
"telephone_number": "303-954-8423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMIS",
"first_name": "KELLY",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "11086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.