Krystal Kobordo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0013781 Issued in CO

Practice address

1667 Saint Paul St
Denver, CO 80206-1614

Phone

(303) 399-2040

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1386093102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 ARAPAHOE AVE UNIT 317",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033303",
            "telephone_number": "484-375-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 SAINT PAUL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061614",
            "telephone_number": "303-399-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBORDO",
        "first_name": "KRYSTAL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0013781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce S Kobayashi, MD
• Grace Kober
• Erin Kobiella, MD
• Emma Kobil
• Majd Kobitary, M.D.,F.C.C.P.
• Brandon Koch, CNIM
• Douglas Richard Koch, DDS
• Hannah Koch
• Hannah Melissa Koch, OT
• Jennifer Grace Koch, LCSW

• Physical Therapy Assistant in Denver, CO
• Providers in Denver, 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 Jun 13, 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.

Verify at the official NPI Registry.