Active NPI
Alexander Michael Kuck, DPT
- Physical Therapist
- Breckenridge, CO
National Provider Identifier
1881364990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0017939
- Practice address
- 106 N. French St.
Suite 250, Bank of the West Building
Breckenridge, CO 80424 - Phone
- (970) 485-3421
- Fax
- (970) 453-1960
- NPI assigned
- Sep 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0017939 | CO | Primary |
Addresses
Primary practice location
106 N. French St.
Suite 250, Bank of the West Building
Breckenridge, CO 80424
Mailing address
106 N. French St.
Suite 250, Bank of the West Building
Breckenridge, CO 80424
Phone (970) 485-3421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 N French St
Suite 250
Breckenridge, CO 80424-5690
Phone (970) 485-3421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017939 | CO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breckenridge Physical Therapy | Past | Accepting new patients |
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.
-
dba Breckenridge Physical Therapy
- Specialist
- Breckenridge, CO
- NPI 1285038471
-
- Specialist
- Breckenridge, CO
- NPI 1255578431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1881364990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 N. FRENCH ST.",
"address_2": "SUITE 250, BANK OF THE WEST BUILDING",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "970-485-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N. FRENCH ST.",
"address_2": "SUITE 250, BANK OF THE WEST BUILDING",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "970-485-3421",
"fax_number": "970-453-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCK",
"first_name": "ALEXANDER",
"middle_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0017939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.