Shayne Marie Kovach, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0014608 Issued in CO

Practice address

251 Violet St Ste 150
Golden, CO 80401-6724

Phone

(303) 279-6000

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1689218554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 VIOLET ST STE 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016724",
            "telephone_number": "303-279-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 VIOLET ST STE 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016724",
            "telephone_number": "303-279-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "SHAYNE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0014608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nextlevelsppt.com",
            "affiliation": "N",
            "endpointDescription": "Healthcare provider website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "251 Violet St Ste 150",
            "city": "Golden",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804016724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Kohring, DPT
• William Patrick Kollmyer, DPT, PT
• Sarah Miriam Kolnik, M.D.
• Mara Braun Kormylo, LCSW
• Lindsay B Koup
• Molly Kovell, PA-C
• Brock William Kraemer, DPT
• Audrey Krajec
• Sydney Kramcha, PA-C
• Ronald E Kramer, MD

• Physical Therapy Assistant in Golden, CO
• Providers in Golden, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.