Individual provider Active NPI

Kelsey Quam, DPT

  • Orthopedic Physical Therapist
  • New Castle, CO
National Provider Identifier
1609323526
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL.0013995 Issued in CO
Practice address
820 Castle Valley Blvd
Suite 201
New Castle, CO 81647-9480
Phone
(970) 984-2300
Fax
(970) 984-0587
NPI assigned
Sep 8, 2016
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL.0013995 CO Primary

Addresses

Primary practice location

820 Castle Valley Blvd
Suite 201
New Castle, CO 81647-9480

Mailing address

820 Castle Valley Blvd
Suite 201
New Castle, CO 81647-9480
Phone (970) 984-2300

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omnis Omnia Inc. Orthopedic CurrentSince Sep 12, 2018 Accepting new patients

Locations

450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410

Organizations & group practices 1

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1609323526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CASTLE VALLEY BLVD",
            "address_2": "SUITE 201",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479480",
            "telephone_number": "970-984-2300",
            "fax_number": "970-984-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CASTLE VALLEY BLVD",
            "address_2": "SUITE 201",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479480",
            "telephone_number": "970-984-2300",
            "fax_number": "970-984-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAM",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0013995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.