Ken Caryl Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KEN CARYL PHYSICAL THERAPY

Practice address

1 Red Maple
Littleton, CO 80127-3529

Phone

(720) 231-1602

NPI assigned

May 10, 2023

Last updated

May 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Kannaka, DPTNPI 1760430813

Title

Owner

Phone

(720) 231-1602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Robert Kannaka

  • Physical Therapist
  • Denver, CO
  • NPI 1760430813
  Medicare reassignment NPD Authorized official
• Jason Ryan Lund, MSPT

  • Physical Therapist
  • Denver, CO
  • NPI 1619000171
  NPD (past)
• Malia N.R. Sawyer, DPT

  • Orthopedic Physical Therapist
  • Denver, CO
  • NPI 1174879324
  NPD (past)
• Ethan Young

  • Physical Therapist
  • Denver, CO
  • NPI 1134505456
  NPD (past)

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1538859814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RED MAPLE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273529",
            "telephone_number": "720-231-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RED MAPLE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273529",
            "telephone_number": "720-231-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN CARYL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "KANNAKA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-231-1602",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Faith Kemp, NP-C
• Sara V Kemp, LPC
• Kaitlyn Kempf
• Cindy Kempton-St Onge, D.D.S.
• Ken Caryl 904 Inc
• Jessica J Kenerson, M.D.
• Luann Joan Kenfield
• Suzanne M. Kenneally, PSY.D.
• Aimee Kennedy, MS,RD
• Christina Marie Kennedy

• Physical Therapy Clinic/Center in Littleton, CO
• Providers in Littleton, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.