Individual provider Active NPI

Kimberly Michelle Saunders, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1679653984
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7031 Issued in CO
Practice address
3938 JFK Pkwy
Fort Collins, CO 80525-3086
Phone
(970) 207-1500
Fax
(970) 207-0075
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7031 CO Primary

Addresses

Primary practice location

3938 JFK Pkwy
Fort Collins, CO 80525-3086

Mailing address

3938 JFK Pkwy
Fort Collins, CO 80525-3086
Phone (970) 207-1500

Other identifiers 1

IdentifierTypeStateIssuer
1679653984OtherNPI

Other names 1

  • Kimberly Michelle Koerner Former name

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

LicenseStateTypeSpecialty
7031COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Orthopedic & Sport Therapy, PC Physical Therapist PastSince Oct 1, 2021 Accepting new patients
Associates in Physical Therapy of Fort Collins, Inc. Physical Therapist PastSince Jul 25, 1995 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1679653984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 JFK PKWY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253086",
            "telephone_number": "970-207-1500",
            "fax_number": "970-207-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 JFK PKWY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253086",
            "telephone_number": "970-207-1500",
            "fax_number": "970-207-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679653984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KOERNER",
            "middle_name": "MICHELLE",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.