Individual provider Active NPI

Kathryn A Weber, PT

  • Physical Therapist
  • Lafayette, CO
National Provider Identifier
1497873889
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6345 Issued in CO
Practice address
1319 W Baseline Rd
Suite 100
Lafayette, CO 80026-9307
Phone
(303) 665-8747
Fax
(303) 926-0184
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6345 CO Primary

Addresses

Primary practice location

1319 W Baseline Rd
Suite 100
Lafayette, CO 80026-9307

Mailing address

1319 W Baseline Rd
Suite 100
Lafayette, CO 80026-9307
Phone (303) 665-8747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000003 CO Practitioner - Physical Therapist in Private Practice 8527041235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coal Creek Physical Therapy, LLCGroup PAC ID 9133014160, 13 clinicians

Practice addresses (Care Compare)

315 W S Boulder Rd
Suite 100
Louisville, CO 80027-1157
Phone (303) 666-4151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6345COMDChiropractor
21487CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
B.E.S.T. Physical Therapy, a Prof Corp Physical Therapist PastSince May 20, 2010 Accepting new patients
Coal Creek Diagnostics, LLC PastSince Feb 28, 2023 Accepting new patients
Physical Therapy of Boulder Physical Therapist PastSince Apr 18, 2001 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1497873889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W BASELINE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269307",
            "telephone_number": "303-665-8747",
            "fax_number": "303-926-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W BASELINE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269307",
            "telephone_number": "303-665-8747",
            "fax_number": "303-926-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.