Active NPI
Stephen R Kangior, MPT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1912185877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5457
- Practice address
- 575 Kincheloe Loop
Colorado Springs, CO 80914-1194 - Phone
- (719) 554-1603
- NPI assigned
- Feb 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1096 | NE | |
| Physical Therapist | 225100000X | 5457 | CO | Primary |
Addresses
Primary practice location
575 Kincheloe Loop
Colorado Springs, CO 80914-1194
Mailing address
3010 Springlake Cir W
Colorado Springs, CO 80906-3747
Phone (719) 344-9393
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025428900 | Medicaid | NE | |
| 10025429000 | Medicaid | NE | |
| 10025429100 | Medicaid | NE | |
| 10025429200 | Medicaid | NE | |
| 10025429300 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1096 | NE | MD | Mental Health Counselor |
| 5457 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1912185877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 SPRINGLAKE CIR W",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063747",
"telephone_number": "719-344-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 KINCHELOE LOOP",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141194",
"telephone_number": "719-554-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANGIOR",
"first_name": "STEPHEN",
"middle_name": "R",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-03",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NE",
"license": "1096",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "5457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025428900",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025429000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025429100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025429200",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025429300",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.