Organization Active NPI

Rooted in Rehabilitation LLC

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1629845912
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ROOTED IN REHABILITATION LLC
Practice address
10488 W Centennial Rd Ste 500&503
Littleton, CO 80127-4293
Phone
(720) 773-0833
NPI assigned
Dec 6, 2023
Last updated
Jan 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2024

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

Authorized official

Name
Kathleen Kershisnik Sieg, DPTNPI 1700426491
Title
Lead Physical Therapist/Partner
Phone
(303) 328-8955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

10488 W Centennial Rd Ste 500&503
Littleton, CO 80127-4293

Mailing address

11242 Moondance TRL
Littleton, CO 80125-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206004010 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739522798 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

10488 W Centennial Rd
Ste 301
Littleton, CO 80127
Phone (720) 773-0833

10488 W Centennial Rd
Ste 500503
Littleton, CO 80127
Phone (720) 773-0833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704499200000",
    "number": "1629845912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 MOONDANCE TRL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801251888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10488 W CENTENNIAL RD STE 500&503",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274293",
            "telephone_number": "720-773-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "SIEG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "KERSHISNIK",
        "authorized_official_title_or_position": "LEAD PHYSICAL THERAPIST/PARTNER",
        "authorized_official_telephone_number": "303-328-8955",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.