Kristine Godsil, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0015568 Issued in CO

Practice address

13606 Xavier LN Ste C
Broomfield, CO 80023-3604

Phone

(303) 404-9494

Fax

(303) 404-2252

NPI assigned

May 9, 2018

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

Other names 1

• Kristine Ingraham Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sparq Physical Therapy LLCGroup PAC ID 0840658365, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sparq Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Castle Rock, CO
  • NPI 1487372173

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Covell Care and Rehabilitation, LLC

  • Home Health Agency
  • Windsor, CO
  • NPI 1063695351

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1457840910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 BURBERRY WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296257",
            "telephone_number": "402-320-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 XAVIER LN STE C",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233604",
            "telephone_number": "303-404-9494",
            "fax_number": "303-404-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 E Cherry Creek South Dr Ste 710",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461534",
            "country_code": "US",
            "telephone_number": "303-432-8487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODSIL",
        "first_name": "KRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "INGRAHAM",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Francesca Giordano, LMFT
• Alyssa M Glaser, MSW, LCSW
• Brooke Lynn Glaza, MPT
• Hannah Gleason
• Jeff Godinez
• Angela Gomez
• Heather Gomez, MA, LMFT
• Andrew Michael Gonzales, PHARMD
• Gene G Gonzales, MD
• Achlin Gonzalez

• Physical Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.