Organization Active NPI

Rise Physical Therapy

Doing business as KinetikChain Denver

  • Physical Therapy Clinic/Center
  • Denver, CO
National Provider Identifier
1700371408
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RISE PHYSICAL THERAPY
Doing business as
KinetikChain Denver
Practice address
121 S Madison St Ste D
Denver, CO 80209-3019
Phone
(720) 651-0674
NPI assigned
Jun 25, 2018
Last updated
Jun 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Jamie Bovay, DPTNPI 1629389051
Title
Owner/Physical Therapist
Phone
(573) 528-2530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

121 S Madison St Ste D
Denver, CO 80209-3019

Mailing address

468 S Logan St
Denver, CO 80209-1817
Phone (573) 528-2530

Other identifiers 2

IdentifierTypeStateIssuer
0010821OtherCOCOLORADO LICENSE
1629389051MedicaidCO

Other names 1

  • KinetikChain Denver Doing business as

National Provider Directory

National Provider Directory

Locations

121 S Madison St
Ste D
Denver, CO 80209
Phone (720) 335-2392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1700371408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 S LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091817",
            "telephone_number": "573-528-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MADISON ST STE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093019",
            "telephone_number": "720-651-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "BOVAY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "573-528-2530",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "0010821",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629389051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KinetikChain Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2018; 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.