Kendra Jayne Wilks, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60131985 Issued in WA

Practice address

600 S 21St St Unit 130
Colorado Springs, CO 80904-3763

Phone

(719) 634-1110

Fax

(719) 634-1112

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kendra Shappee Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Synergy Manual Physical Therapy, PCGroup PAC ID 4688711351, 8 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 and National Provider Directory roles.

• Synergy Manual Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1902032998
  Medicare reassignment Care Compare group NPD
• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Medicare reassignment Care Compare group
• Synergy Manual Physical Therapy PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1790193159
  NPD
• Vail Clinic Inc

  • Clinic/Center
  • Avon, CO
  • NPI 1295381390
  NPD
• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1609828474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 21ST ST UNIT 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043763",
            "telephone_number": "719-634-1110",
            "fax_number": "719-634-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 21ST ST UNIT 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043763",
            "telephone_number": "719-634-1110",
            "fax_number": "719-634-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKS",
        "first_name": "KENDRA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62838",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60131985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "SHAPPEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lacey Wilkins, MA, MS, LPC
• Adrienne Wilkinsin
• Jason Lynn Wilkinson, DPT
• Margo M Wilkinson, PTA
• Suzanne Elizabeth Wilkinson, M.A., M.A.R, LPC
• Amber Will, LCSW
• Cerrah Willams
• Willard Dental, PLLC
• Hattie Willard, DDS
• Tiffany Marie Willard, M.D.

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.