Kassidy Bourgeois, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0012657 Issued in CO

Practice address

4404 Barranca LN Unit 101
Castle Rock, CO 80104-7432

Phone

(720) 733-5270

Fax

(720) 733-5281

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kassidy Pieratt Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uchealth Community ServicesGroup PAC ID 5395024905, 130 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Uchealth Community Services

  • Physical Therapist
  • Englewood, CO
  • NPI 1841740693
  Medicare reassignment Care Compare group NPD
• Coal Creek Diagnostics, LLC

  • Diagnostic Ultrasound Physician
  • Louisville, CO
  • NPI 1366941171
  NPD (past)
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD (past)
• Uchealth Community Services

  • Physical Therapist
  • Castle Rock, CO
  • NPI 1073147179
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1649683442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 BARRANCA LN UNIT 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047432",
            "telephone_number": "720-733-5270",
            "fax_number": "720-733-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "KASSIDY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIDY",
            "last_name": "PIERATT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Boost Behavior Therapy
• Donna Leslie Borbas, LPN
• Denise Botdorf
• Candice Bottoms
• Jessica Botts, PA-C
• Eva Bourland, OTR/L
• Jennifer Louise Bourne, PT, DPT, ATC
• Brandon Bowers
• Heather Bowman
• Boyd Chiropractic Centers, PC

• Physical Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.