Active NPI
Kelley Warner, DPT
- Physical Therapist
- Lone Tree, CO
National Provider Identifier
1568611986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL0015961
- Practice address
- 6024 Puma Chase
Lone Tree, CO 80124-9422 - Phone
- (303) 323-9998
- NPI assigned
- Sep 9, 2008
- Last updated
- May 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305205888 | VA | |
| Physical Therapist | 225100000X | 22875 | MD | |
| Physical Therapist | 225100000X | PTL0015961 | CO | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 33849 | CA |
Addresses
Primary practice location
6024 Puma Chase
Lone Tree, CO 80124-9422
Mailing address
6024 Puma Chase
Lone Tree, CO 80124-9422
Phone (303) 323-9998
Other practice location 1
2450 El Camino Real
Suite 101
Palo Alto, CA 94306
Phone (650) 565-8090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelley@modernmommypt.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL0015961 | CO | MD | Physical Therapist |
| 2305205888 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back 2 Motion | Current | Accepting new patients | |
| Redondo Orthopedic Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Agile Physical Therapy Inc | Past | Accepting new patients | |
| Peak Performance PT Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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 Therapy Clinic/Center
- Greenwood Village, CO
- NPI 1568183101
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1700107984
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
-
dba Peak Performance Physical Therapy & Sports Rehab
- Orthopedic Physical Therapist
- Rancho Palos Verdes, CA
- NPI 1760412472
-
- Physical Therapy Clinic/Center
- Torrance, CA
- NPI 1578592424
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1568611986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6024 PUMA CHASE",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801249422",
"telephone_number": "303-323-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6024 PUMA CHASE",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801249422",
"telephone_number": "303-323-9998"
}
],
"practiceLocations": [
{
"address_1": "2450 El Camino Real",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "94306",
"country_code": "US",
"telephone_number": "650-565-8090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARNER",
"first_name": "KELLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205888",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22875",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL0015961",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "33849",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelley@modernmommypt.com",
"affiliation": "N",
"endpointDescription": "Business email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "6024 Puma Chase",
"city": "Lone Tree",
"state": "CO",
"country_code": "US",
"postal_code": "801249422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.