NPIMap

Organization Active NPI

Kind Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Superior, CO
National Provider Identifier
1477016350
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KIND REHABILITATION LLC
Practice address
2600 S Rock Creek Pkwy Apt 21-101
Superior, CO 80027-4505
Phone
(347) 489-4533
NPI assigned
Apr 9, 2019
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Daniel Basta, MSPTNPI 1356585483
Title
Physical Therapist
Phone
(347) 489-4533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

2600 S Rock Creek Pkwy Apt 21-101
Superior, CO 80027-4505

Mailing address

566 S McCaslin Blvd Unit 270316
Superior, CO 80027-5249

Other names 1

  • Daniel Basta Physical Therapy LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190508001561 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739421967 Receives reassigned benefits from 25 practitioners
Practice locations: Broomfield, CO

National Provider Directory

National Provider Directory

Locations

566 S McCaslin Blvd
Unit 270316
Superior, CO 80027

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1477016350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 S MCCASLIN BLVD UNIT 270316",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800275249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S ROCK CREEK PKWY APT 21-101",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274505",
            "telephone_number": "347-489-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "BASTA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-489-4533",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Basta Physical Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Daniel Basta Physical Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.