Individual provider Active NPI

Mikhail Kaspin

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1831638485
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0014516 Issued in CO
Practice address
6795 E Tennessee Ave Ste 100
Denver, CO 80224-1616
Phone
(720) 219-8146
Fax
(720) 219-8146
NPI assigned
Feb 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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 0014516 CO Primary

Addresses

Primary practice location

6795 E Tennessee Ave Ste 100
Denver, CO 80224-1616

Mailing address

13170 E Linvale PL
Aurora, CO 80014-3431
Phone (720) 219-8146

Other practice location 1

1411 S Potomac St Ste 400
Aurora, CO 80012-4540
Phone (303) 695-6060

Other practice location 2

13710 E Rice Pl
Aurora, CO 80015-1074
Phone (303) 693-2225

Other names 1

  • Michael Kaspin Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409002000 CO Practitioner - Physical Therapist in Private Practice 2668735465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Colorado Physio Therapy LLCGroup PAC ID 9931462736, 2 clinicians
Enhanced Motion Physical TherapyGroup PAC ID 1759644552, 4 clinicians

Practice addresses (Care Compare)

13710 E Rice PL
Suite 100
Aurora, CO 80015-1075
Phone (303) 500-7070

6795 E Tennessee Ave
Suite 100
Denver, CO 80224-1616
Phone (720) 219-8146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0014516COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Motion Physical Therapy Physical Therapist CurrentSince May 13, 2018 Accepting new patients
Enhanced Motion Physical Therapy CurrentSince May 13, 2018 Accepting new patients
DME of Colorado LLC CurrentSince Jan 26, 2024 Accepting new patients
Breakthrough Pediatrics LLC Physical Therapist CurrentSince Aug 25, 2019 Accepting new patients
Colorado Physio Therapy LLC Physical Therapist CurrentSince Feb 7, 2018 Accepting new patients
Enhanced Motion Physical Therapist Past Accepting new patients

Locations

13710 E Rice Pl
Ste 100
Aurora, CO 80015
Phone (303) 500-7070

13710 E Rice Pl
Aurora, CO 80015
Phone (303) 693-2225

6795 E Tennessee Ave
Ste 100
Denver, CO 80224
Phone (720) 219-8146

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Breakthrough Pediatrics LLCDenver, CO, CCN 067598 Home health agency 5% Or Greater Direct Ownership Interest (30%)
Operational/Managerial Control (30%)
Aug 25, 2019
Aug 25, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1831638485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13170 E LINVALE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143431",
            "telephone_number": "720-219-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241616",
            "telephone_number": "720-219-8146",
            "fax_number": "720-219-8146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 S Potomac St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124540",
            "country_code": "US",
            "telephone_number": "303-695-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13710 E Rice Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800151074",
            "country_code": "US",
            "telephone_number": "303-693-2225",
            "fax_number": "303-693-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASPIN",
        "first_name": "MIKHAIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "KASPIN",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.