Active NPI
Krista A Paintner-Rudolph, DPT
- Physical Therapist
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0008838
- Practice address
- 2500 E Prospect Rd
Fort Collins, CO 80525-9718 - Phone
- (970) 493-0112
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- 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 | PTL.0008838 | CO | Primary |
Addresses
Primary practice location
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Mailing address
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00402180 | Other | CO | RR MEDICARE |
| 121995200 | Medicaid | WY | |
| 62974831 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060214000331 | CO | Practitioner - Physical Therapist in Private Practice | 7012922990 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-4010
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.72 of 100
- Quality
- 70.39
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 69.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Spine Center of the Rockies PC | Physical Therapist | Current | Accepting new patients |
Locations
2500 E Prospect Rd
Fort Collins, CO 80525
Phone (800) 722-7441
1926 61st Ave
Greeley, CO 80634
Phone (970) 573-3224
3470 E 15th St
Loveland, CO 80538
Phone (970) 663-3975
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.
-
- Orthopaedic Surgery Physician
- Fort Collins, CO
- NPI 1770579385
CO, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1902880784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E PROSPECT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259718",
"telephone_number": "970-493-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E PROSPECT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259718",
"telephone_number": "970-493-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTNER-RUDOLPH",
"first_name": "KRISTA",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0008838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00402180",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121995200",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62974831",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.