Individual provider Active NPI

Kathleen Margaret Winterhalter, PT, DPT

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1740633486
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0014196 Issued in CO
Practice address
1751 Hover St
Longmont, CO 80501-7181
Phone
(303) 772-9424
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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 PTL.0014196 CO Primary

Addresses

Primary practice location

1751 Hover St
Longmont, CO 80501-7181

Mailing address

1751 Hover St
Longmont, CO 80501-7181
Phone (303) 772-9424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127001933 VT Practitioner - Physical Therapist in Private Practice 7416214663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Physical Therapy PLCGroup PAC ID 5890795348, 13 clinicians

Practice addresses (Care Compare)

10 Farrell St
Suite 7
S Burlington, VT 05403-6371
Phone (802) 864-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0014196COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Therapy PLC Physical Therapist CurrentSince Oct 4, 2017 Accepting new patients

Locations

160 Flynn Ave
Burlington, VT 05401
Phone (802) 864-6262

10 Farrell St
Ste 7
South Burlington, VT 05403
Phone (802) 318-5564

Organizations & group practices 1

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1740633486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017181",
            "telephone_number": "303-772-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 HOVER ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017181",
            "telephone_number": "303-772-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERHALTER",
        "first_name": "KATHLEEN",
        "middle_name": "MARGARET",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.