Individual provider Active NPI

Caryn Szameitat, PT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1740595214
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10263 Issued in CO
Practice address
1055 Adams Cir
Boulder, CO 80303-1820
Phone
(303) 887-9919
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10263 CO Primary

Addresses

Primary practice location

1055 Adams Cir
Boulder, CO 80303-1820

Mailing address

1310 Lehigh St
Boulder, CO 80305-6923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000484 CO Practitioner - Physical Therapist in Private Practice 7012104672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians
Friday Physical TherapyGroup PAC ID 4688094659, 3 clinicians

Practice addresses (Care Compare)

2310 9TH Ave
Longmont, CO 80503-4008
Phone (303) 834-8426

2440 S Wabash St
Modena Cherry Creek
Denver, CO 80231-3808
Phone (314) 673-6747

4735 Walnut St
Suite E
Boulder, CO 80301-2553
Phone (720) 606-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10263COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Colorado, LLC Physical Therapist CurrentSince Jul 16, 2024 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Friday Physical Therapy Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients

Locations

4735 Walnut St
Ste E
Boulder, CO 80301
Phone (720) 606-0070

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1740595214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 LEHIGH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ADAMS CIR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031820",
            "telephone_number": "303-887-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAMEITAT",
        "first_name": "CARYN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.