Organization Active NPI

Kngdm Sports Performance Corp

  • Physical Therapy Clinic/Center
  • Englewood, CO
National Provider Identifier
1831075753
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KNGDM SPORTS PERFORMANCE CORP
Practice address
333 Inverness Dr S
Englewood, CO 80112-5075
Phone
(720) 883-9331
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Mr. Jerald Jarrell Foster
Title
Director of Operations
Phone
(720) 883-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

333 Inverness Dr S
Englewood, CO 80112-5075

Mailing address

333 Inverness Dr S
Englewood, CO 80112-5075
Phone (720) 883-9331

National Provider Directory

National Provider Directory

Locations

333 Inverness Dr S
Englewood, CO 80112
Phone (720) 883-9331

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1831075753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 INVERNESS DR S",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125075",
            "telephone_number": "720-883-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 INVERNESS DR S",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125075",
            "telephone_number": "720-883-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNGDM SPORTS PERFORMANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "JARRELL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "720-883-9331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.