Individual provider Active NPI

Katherine Ann Kittelson, P.T.

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1578870200
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10845 Issued in CO
Practice address
1550 S Pearl St
Suite 101
Denver, CO 80210-2645
Phone
(303) 778-7246
NPI assigned
Sep 1, 2010
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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 10845 CO Primary

Addresses

Primary practice location

1550 S Pearl St
Suite 101
Denver, CO 80210-2645

Mailing address

2466 Eaton St
Edgewater, CO 80214-1212
Phone (260) 403-6957

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

LicenseStateTypeSpecialty
10845COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feldhake Physical Therapy, LTD. PastSince Mar 1, 2010 Accepting new patients
Coverly Physical Therapy, Inc. PastSince Aug 10, 2005 Accepting new patients

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1578870200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 EATON ST",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141212",
            "telephone_number": "260-403-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S PEARL ST",
            "address_2": "SUITE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102645",
            "telephone_number": "303-778-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTELSON",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.