Active NPI
Kenneth Aaron Bush, DPT
- Physical Therapist
- Castle Rock, CO
National Provider Identifier
1497084578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL-9129
- Practice address
- 725 Wilcox St
Castle Rock, CO 80104-1740 - Phone
- (720) 457-5535
- Fax
- (720) 457-5535
- NPI assigned
- Dec 18, 2009
- Last updated
- Jul 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL-9129 | CO | Primary |
Addresses
Primary practice location
725 Wilcox St
Castle Rock, CO 80104-1740
Mailing address
4479 Larksong PL
Castle Rock, CO 80109-7919
Phone (303) 921-3828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 N Wilcox St
Castle Rock, CO 80104-1740
Phone (720) 457-5535
725 Wilcox St
Castle Rock, CO 80104-1740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL-9129 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Limits PT, LLC | Physical Therapist | Current | Accepting new patients |
| Peak Physical Therapy P C | Physical Therapist | Past | Accepting new patients |
Locations
725 Wilcox St
Castle Rock, CO 80104
Phone (720) 457-5535
Organizations & group practices 2
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.
-
- Physical Therapist
- Castle Rock, CO
- NPI 1073887352
-
- Physical Therapist
- Boise, ID
- NPI 1073551560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1497084578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4479 LARKSONG PL",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801097919",
"telephone_number": "303-921-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WILCOX ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041740",
"telephone_number": "720-457-5535",
"fax_number": "720-457-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "KENNETH",
"middle_name": "AARON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-18",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL-9129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.