Individual provider Active NPI

Allison Sachiko Atherholt, PA-C, ATC

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1356773964
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005138 Issued in CO
Practice address
5818 N Nevada Ave Ste 110
Colorado Springs, CO 80918-3505
Phone
(719) 365-1950
Fax
(719) 364-0022
NPI assigned
Aug 6, 2013
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005138 CO Primary
Medical Physician Assistant 363AM0700X MA056296 PA
Medical Physician Assistant 363AM0700X PA.0005138 CO

Addresses

Primary practice location

5818 N Nevada Ave Ste 110
Colorado Springs, CO 80918-3505

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (719) 365-1950

Other names 1

  • Ms. Allison Sachiko Kim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131007001407 PA Practitioner - Physician Assistant 4880828821 Reassigns benefits to 1 organization
I20180216001651 CO Practitioner - Physician Assistant 4880828821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1370 Interquest Pkwy
Suite 100
Colorado Springs, CO 80921-4338
Phone (719) 365-1950

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005138COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Apr 1, 2015 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 9, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 1, 2015 Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients

Locations

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

175 S Union Blvd
Ste 125
Colorado Springs, CO 80910

175 S Union Blvd
Ste 310
Colorado Springs, CO 80910
Phone (719) 365-6363

3843 Rio Vista Dr
Ste 1200
Colorado Springs, CO 80917

8890 N Union Blvd
Ste 171
Colorado Springs, CO 80920
Phone (719) 364-4120

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

235 S 8th St
Fl 1
Philadelphia, PA 19106
Phone (215) 829-3073

3737 Market St
Fl 7
Philadelphia, PA 19104

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

Organizations & group practices 6

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1356773964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "719-365-1950",
            "fax_number": "719-364-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 N NEVADA AVE STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183505",
            "telephone_number": "719-365-1950",
            "fax_number": "719-364-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHERHOLT",
        "first_name": "ALLISON",
        "middle_name": "SACHIKO",
        "name_prefix": "Mrs.",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005138",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056296",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "KIM",
            "middle_name": "SACHIKO",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.