Individual provider Active NPI

Kevin David Heinrich, PT, DPT

  • Physical Therapist
  • Kailua Kona, HI
National Provider Identifier
1891462727
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17888 Issued in CO
Practice address
75-5699 Kopiko St
Kailua Kona, HI 96740-3651
Phone
(808) 329-7744
Fax
(808) 334-1608
NPI assigned
Aug 27, 2021
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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 17888 CO Primary

Addresses

Primary practice location

75-5699 Kopiko St
Kailua Kona, HI 96740-3651

Mailing address

15530 W 64TH Ave Unit E
Arvada, CO 80007-6874
Phone (303) 424-4589

Other practice location 1

15530 W 64th Ave Unit E
Arvada, CO 80007-6874
Phone (303) 424-4589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17888COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 4, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 4, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 30, 2021 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Denver Physical Therapy at Home Physical Therapist CurrentSince Feb 2, 2022 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 30, 2021 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 4, 2023 Accepting new patients
Rodrigo D. Rodriguez PastSince Feb 2, 2022 Accepting new patients

Locations

15530 W 64th Ave
Unit E
Arvada, CO 80007
Phone (303) 424-4589

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

Organizations & group practices 9

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1891462727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE UNIT E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-424-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5699 KOPIKO ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403651",
            "telephone_number": "808-329-7744",
            "fax_number": "808-334-1608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15530 W 64th Ave Unit E",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800076874",
            "country_code": "US",
            "telephone_number": "303-424-4589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.