Gabrielle Rae Ketzenbarger, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

3455 Lutheran Pkwy BLDG 8
Wheat Ridge, CO 80033-6028

Phone

(303) 456-6000

NPI assigned

Oct 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1407572639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 25TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052838",
            "telephone_number": "970-409-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY BLDG 8",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-456-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETZENBARGER",
        "first_name": "GABRIELLE",
        "middle_name": "RAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Kenny
• Laura Kenny
• Lizbeth Kern
• Dawn Kervin
• Jenifer Nicole Kettering
• Key Counseling, LLC.
• Yelena Khayut, MD
• Nicole Khazei
• Colleen Kibbie-Vest
• Nicole Kibel

• Physical Therapy Assistant in Wheat Ridge, CO
• Providers in Wheat Ridge, 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 Oct 19, 2022; 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.