Kelsey Kinkade, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0019680 Issued in CO

Practice address

3466 Briargate Blvd Ste 3466
Colorado Springs, CO 80920-4168

Phone

(862) 271-9635

NPI assigned

Feb 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution Rehabilitation P. C.Group PAC ID 7113928185, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revolution Rehabilitation P. C.

  dba Revolution Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1578626248
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1700642295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13226 SMOKEY LILAC GRV APT 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 BRIARGATE BLVD STE 3466",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204168",
            "telephone_number": "862-271-9635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Printers Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809106102",
            "country_code": "US",
            "telephone_number": "719-635-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINKADE",
        "first_name": "KELSEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Kingdon
• Ethan Daniel Kingery, RBT
• Leslie Kingman, PH.D.
• Daniel C Kingsford, D.D.S.
• Jacob Martin Kingsley
• Rebecca Kinkennon
• Angelina Rose Kinn, AU.D.
• William F. Kinn Jr., M.D.
• Brooke Elizabeth Kinnaman, RBT
• Joyce Ellen Kinnaman, L.P.C.

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, 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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.