Individual provider Active NPI

Kimberly Anne Bozich, P.T., D.P.T.

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1861619694
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0006983 Issued in CO
Practice address
311 E County Line Rd
#A3
Littleton, CO 80122-8102
Phone
(720) 542-9712
Fax
(720) 542-9831
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 PTL.0006983 CO Primary

Addresses

Primary practice location

311 E County Line Rd
#A3
Littleton, CO 80122-8102

Mailing address

311 E County Line Rd
#A3
Littleton, CO 80122-8102
Phone (720) 542-9712

Other practice location 1

2329 W Main St Ste 102
Littleton, CO 80120-8200
Phone (303) 797-0988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000310 CO Practitioner - Physical Therapist in Private Practice 6901063387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Run Collective LLCGroup PAC ID 5799225173, 7 clinicians

Practice addresses (Care Compare)

2329 W Main St
Suite 102
Littleton, CO 80120-8200
Phone (303) 797-0988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Run Collective LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Colorado Ctr for Physical Therapy Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients

Locations

2329 W Main St
Ste 102
Littleton, CO 80120
Phone (303) 797-0988

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1861619694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E COUNTY LINE RD",
            "address_2": "#A3",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801228102",
            "telephone_number": "720-542-9712",
            "fax_number": "720-542-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E COUNTY LINE RD",
            "address_2": "#A3",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801228102",
            "telephone_number": "720-542-9712",
            "fax_number": "720-542-9831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2329 W Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801208200",
            "country_code": "US",
            "telephone_number": "303-797-0988",
            "fax_number": "303-797-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZICH",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0006983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.

Verify at the official NPI Registry.