Active NPI
Kimberly Kaiser, PT
- Physical Therapist
- Evergreen, CO
National Provider Identifier
1669420287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4323
- Practice address
- 2942 Evergreen Pkwy
#100
Evergreen, CO 80439-7909 - Phone
- (303) 670-4802
- Fax
- (303) 670-4526
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4323 | CO | Primary |
| Physical Therapist | 225100000X | 3079024 | WI |
Addresses
Primary practice location
2942 Evergreen Pkwy
#100
Evergreen, CO 80439-7909
Mailing address
2942 Evergreen Pkwy
#100
Evergreen, CO 80439-7909
Phone (303) 670-4802
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4323 | CO | MD | Professional Counselor |
| 3079024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1669420287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2942 EVERGREEN PKWY",
"address_2": "#100",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397909",
"telephone_number": "303-670-4802",
"fax_number": "303-670-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2942 EVERGREEN PKWY",
"address_2": "#100",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804397909",
"telephone_number": "303-670-4802",
"fax_number": "303-670-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "KIMBERLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4323",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3079024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.