Active NPI
Kelcii Fisher, DPT
- Physical Therapist
- Boulder, CO
National Provider Identifier
1689179004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2150 Stadium Drive
Boulder, CO 80309-4506 - Phone
- (303) 315-9900
- Fax
- (303) 315-9902
- NPI assigned
- Mar 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | KS | Primary |
Addresses
Primary practice location
2150 Stadium Drive
Boulder, CO 80309-4506
Mailing address
PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-4101
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Christi Rehabilitation Hospital, Inc | Physical Therapist | Past | Accepting new patients |
| Boulder Community Health | Past | Accepting new patients | |
| Innovative Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Boulder Community Health | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1407685498
-
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
- Physical Therapist
- Wichita, KS
- NPI 1346372588
-
- Family Medicine Physician
- Wichita, KS
- NPI 1598001331
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1689179004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9049",
"city": "BOULDER",
"state": "CO",
"postal_code": "803019049",
"telephone_number": "303-415-4101",
"fax_number": "303-415-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 STADIUM DRIVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803094506",
"telephone_number": "303-315-9900",
"fax_number": "303-315-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "KELCII",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.