Kirsten Garner, PTA

Individual provider Active NPI Physical Therapy Assistant · Firestone, CO

NPI 1902436645 · NPPES record last updated Jan 22, 2020

Key facts

NPI
1902436645
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA.0014746 (CO)
Practice address
11169 E I25 Frontage Rd
Firestone, CO 80504-5276
Phone
(720) 600-0370
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA.0014746COMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thoracic Park Holdings LLC Past
since Jan 26, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA.0014746 CO Yes

Addresses

Primary practice location

11169 E I25 Frontage Rd
Firestone, CO 80504-5276

Mailing address

9828 Meade Cir
Westminster, CO 80031-2648
Phone (713) 732-8357

Other providers in Firestone, CO

All providers in Firestone, CO · Physical Therapy Assistant in Colorado

Sources for this page

Verify at the official NPI Registry.