Individual provider Active NPI

Grace E Kohl, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1770823932
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0014907 Issued in CO
Practice address
2696 S Colorado Blvd Ste 240
Denver, CO 80222
Phone
(303) 756-3278
Fax
(303) 277-0714
NPI assigned
Feb 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005074 IA
Physical Therapist 225100000X PTL.0014907 CO Primary

Addresses

Primary practice location

2696 S Colorado Blvd Ste 240
Denver, CO 80222

Mailing address

1355 S Colorado Blvd Ste 700
Denver, CO 80222-3325
Phone (303) 277-0700

Other practice location 1

200 W Railroad St
Storm Lake, IA 50588-2449
Phone (712) 213-8184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0014907COMDPhysical Therapist
005074IAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholson Physical Therapy, PLC Physical Therapist PastSince Jan 4, 2010 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1770823932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD STE 700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223325",
            "telephone_number": "303-277-0700",
            "fax_number": "303-277-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 S COLORADO BLVD STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "303-756-3278",
            "fax_number": "303-277-0714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Railroad St",
            "address_purpose": "LOCATION",
            "city": "Storm Lake",
            "state": "IA",
            "postal_code": "505882449",
            "country_code": "US",
            "telephone_number": "712-213-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHL",
        "first_name": "GRACE",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "005074",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.