Active NPI
Kyle Anthony Denlinger, PT, DPT, OCS
- Physical Therapist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0016870
- Practice address
- 2150 Stadium Drive
Boulder, CO 80309-9273 - Phone
- (303) 315-9900
- Fax
- (303) 315-9902
- NPI assigned
- Nov 13, 2017
- 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 | 26717 | MD | |
| Physical Therapist | 225100000X | PTL.0016870 | CO | Primary |
Addresses
Primary practice location
2150 Stadium Drive
Boulder, CO 80309-9273
Mailing address
PO Box 9049
Boulder, CO 80301-9049
Phone (303) 315-9900
Other practice location 1
2 Loveton Cir Ste G100
Sparks, MD 21152-9273
Phone (410) 472-2672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201002854 | CO | Practitioner - Physical Therapist in Private Practice | 5991195174 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boulder Community Health
Practice addresses (Care Compare)
2150 Stadium Dr
Boulder, CO 80309-0001
Phone (303) 315-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26717 | MD | MD | Clinical Social Worker |
| PTL.0016870 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients |
Locations
2150 Stadium Dr
Fl 2
Boulder, CO 80309
Phone (303) 315-9900
2150 Stadium Dr
Boulder, CO 80309
Phone (303) 315-9900
1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450
5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770
Organizations & group practices 6
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.
-
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- NPI 1760595086
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- Primary Care Clinic/Center
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- NPI 1669028387
-
- Primary Care Clinic/Center
- Boulder, CO
- NPI 1740837137
-
- Medical Specialty Clinic/Center
- Boulder, CO
- NPI 1407685498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1831602879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9049",
"city": "BOULDER",
"state": "CO",
"postal_code": "803019049",
"telephone_number": "303-315-9900",
"fax_number": "303-315-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 STADIUM DRIVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803099273",
"telephone_number": "303-315-9900",
"fax_number": "303-315-9902"
}
],
"practiceLocations": [
{
"address_1": "2 Loveton Cir Ste G100",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "MD",
"postal_code": "211529273",
"country_code": "US",
"telephone_number": "410-472-2672",
"fax_number": "410-472-2673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENLINGER",
"first_name": "KYLE",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-13",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26717",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0016870",
"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 Sep 29, 2022; 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.