Individual provider Active NPI

Kevin Klingenmeier, PT, DPT

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1851918759
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17034 Issued in CO
Practice address
275 Century Cir Ste 103
Louisville, CO 80027-9453
Phone
(303) 926-1444
Fax
(303) 926-0038
NPI assigned
Jun 26, 2020
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 17034 CO Primary

Addresses

Primary practice location

275 Century Cir Ste 103
Louisville, CO 80027-9453

Mailing address

275 Century Cir Ste 103
Louisville, CO 80027-9453
Phone (303) 926-1444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828000120 CO Practitioner - Physical Therapist in Private Practice 2860819414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17034COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Pelvic Health LLC Physical Therapist CurrentSince May 14, 2023 Accepting new patients
Precision Physical Therapy Inc Physical Therapist CurrentSince Jun 29, 2020 Accepting new patients

Locations

13150 W 72nd Ave
Arvada, CO 80005
Phone (303) 926-1444

275 Century Cir
Ste 103
Louisville, CO 80027
Phone (303) 926-1444

10200 W 44th Ave
Ste 339
Wheat Ridge, CO 80033
Phone (303) 926-1444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1851918759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CENTURY CIR STE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279453",
            "telephone_number": "303-926-1444",
            "fax_number": "303-926-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CENTURY CIR STE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279453",
            "telephone_number": "303-926-1444",
            "fax_number": "303-926-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGENMEIER",
        "first_name": "KEVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.