Individual provider Active NPI

Alexis Klingler, DPT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1548158934
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020693 Issued in CO
Practice address
350 Broadway St Ste 50
Boulder, CO 80305-3300
Phone
(303) 666-4151
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 0020693 CO Primary

Addresses

Primary practice location

350 Broadway St Ste 50
Boulder, CO 80305-3300

Mailing address

7661 Gray Way
Arvada, CO 80003-5817
Phone (303) 817-5715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827004596 CO Practitioner - Physical Therapist in Private Practice 2860993334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
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
0020693COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coal Creek Physical Therapy, LLC Physical Therapist CurrentSince Jun 13, 2025 Accepting new patients
Coal Creek Diagnostics, LLC PastSince Jun 13, 2025 Accepting new patients

Locations

350 Broadway St
Ste 50
Boulder, CO 80305
Phone (303) 499-2879

315 W South Boulder Rd
Ste 100
Louisville, CO 80027
Phone (303) 601-6666

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.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1548158934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 GRAY WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800035817",
            "telephone_number": "303-817-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST STE 50",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053300",
            "telephone_number": "303-666-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGLER",
        "first_name": "ALEXIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.