Kellyrose Thomas PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KELLYROSE THOMAS PLLC

Practice address

400 West Midland Avenue
Suite 160B
Woodland Park, CO 80863

Phone

(719) 286-9768

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Thomas, DPT

Title

Owner

Phone

(850) 812-0329

Specialties & licenses 1

Addresses

Other names 1

• Peregrine Performance Former legal business name

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1700497237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 W. US HWY 24",
            "address_2": "UNIT 140",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "919-685-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST MIDLAND AVENUE",
            "address_2": "SUITE 160B",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "719-286-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYROSE THOMAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-812-0329",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peregrine Performance",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Journeys Counseling Center, Inc.
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• Christopher D Kaczmar
• Lyla Keeler, LMT/MMP
• Rachel J Keesling, DO
• Shane Kenne, PTA
• Kingdom Pediatric Therapy
• Michael E Kinne, NP
• Kassandra F Kleymann, CCC-SLP
• Kelly McCall Knott, PT

• Physical Therapist in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.