Active NPI
Mark Kincaid, DPT
- Physical Therapist
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0016848
- Practice address
- 2500 E Prospect Rd
Fort Collins, CO 80525-9718 - Phone
- (970) 419-7139
- Fax
- (970) 493-1794
- NPI assigned
- Mar 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0016848 | CO | |
| Physical Therapist | 225100000X | PTL.0016848 | CO | Primary |
Addresses
Primary practice location
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Mailing address
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 419-7139
Other practice location 1
2015 Clubhouse Dr Ste 102
Greeley, CO 80634-3651
Phone (970) 506-4066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTL.0016848 | Other | CO | PHYSICAL THERAPY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | m.kincaid@proactivephysicaltherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.72 of 100
- Quality
- 70.39
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 69.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0016848 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Orthopaedic & Spine Center of the Rockies PC | Physical Therapist | Current | Accepting new patients |
Locations
2500 E Prospect Rd
Fort Collins, CO 80525
Phone (800) 722-7441
1926 61st Ave
Greeley, CO 80634
Phone (970) 573-3224
2015 Clubhouse Dr
Ste 102
Greeley, CO 80634
Phone (970) 506-4066
3470 E 15th St
Loveland, CO 80538
Phone (970) 663-3975
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.
-
- Orthopaedic Surgery Physician
- Fort Collins, CO
- NPI 1770579385
Physical Therapist
-
- Physical Therapist
- Greeley, CO
- NPI 1154593960
-
- Physical Therapist
- Lakewood, CO
- NPI 1669534053
-
- Physical Therapist
- Denver, CO
- NPI 1912717000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1760017388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E PROSPECT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259718",
"telephone_number": "970-419-7139",
"fax_number": "970-493-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E PROSPECT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259718",
"telephone_number": "970-419-7139",
"fax_number": "970-493-1794"
}
],
"practiceLocations": [
{
"address_1": "2015 Clubhouse Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806343651",
"country_code": "US",
"telephone_number": "970-506-4066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINCAID",
"first_name": "MARK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-04",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0016848",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0016848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PTL.0016848",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "m.kincaid@proactivephysicaltherapy.com",
"affiliation": "N",
"endpointDescription": "I am not yet working at my clinic and do not know the exact endpoint.",
"address_1": "2015 Clubhouse Dr Ste 102",
"city": "Greeley",
"state": "CO",
"country_code": "US",
"postal_code": "806343651",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.