Organization Active NPI

Kinney Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Denver, CO
National Provider Identifier
1699154419
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0012212 Issued in CO
Legal business name
KINNEY PHYSICAL THERAPY, LLC
Practice address
1221 S Clarkson St
Suite 311
Denver, CO 80210-1625
Phone
(720) 432-0155
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Charles Patrick Kinney, PT, DPTNPI 1124453535
Title
Owner/Physical Therapist
Phone
(720) 432-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 0012212 CO Primary

Addresses

Primary practice location

1221 S Clarkson St
Suite 311
Denver, CO 80210-1625

Mailing address

1221 S Clarkson St Ste 311
Denver, CO 80210-1628
Phone (720) 432-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151007002967 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042528291 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

1221 S Clarkson St
Ste 311
Denver, CO 80210
Phone (720) 432-0155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1699154419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S CLARKSON ST STE 311",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101628",
            "telephone_number": "720-432-0155",
            "fax_number": "720-634-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S CLARKSON ST",
            "address_2": "SUITE 311",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101625",
            "telephone_number": "720-432-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNEY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "720-432-0155",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0012212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.