Kelsey Larson Kolstad, PT, MPT, OCS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1033 Issued in WY

Practice address

544 Yellowstone Ave
Cody, WY 82414-9300

Phone

(307) 587-9789

Fax

(307) 587-9787

NPI assigned

Jul 6, 2011

Last updated

Jan 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Hand Therapy, P.C.Group PAC ID 6901088020, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Canyon Hand Therapy, P.C.

  dba Canyon Therapy

  • Physical Therapy Clinic/Center
  • Cody, WY
  • NPI 1639476443
  Medicare reassignment Care Compare group NPD
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)
• William H and Carrie Gottsche Foundation

  dba Gottsche Rehabilitation Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1578850970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149300",
            "telephone_number": "307-587-9789",
            "fax_number": "307-587-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149300",
            "telephone_number": "307-587-9789",
            "fax_number": "307-587-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSTAD",
        "first_name": "KELSEY",
        "middle_name": "LARSON",
        "credential": "PT, MPT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Knaff, ATC
• Angel Knauff
• Ron Knauff
• Stephanie I Knodel
• Amanda Marie Kolstad, DPT
• Emily Konvalinka
• Ben Joseph Koperski, MA CCCA FAAA
• Cheri Marie Kreitzmann, MS, LPC
• Kyle Paul Kreitzmann
• Stuart Todd Kuchel, M.S., O.T.R./L.

• Physical Therapist in Cody, WY
• Providers in Cody, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.