Individual provider Active NPI

Kelsey Boyer

  • Physical Therapist
  • Greeley, CO
National Provider Identifier
1922555218
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0014245 Issued in CO
Practice address
6767 West 29TH Street
1St Floor
Greeley, CO 80634
Phone
(970) 313-2775
Fax
(970) 313-2777
NPI assigned
Sep 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 0014245 CO Primary

Addresses

Primary practice location

6767 West 29TH Street
1St Floor
Greeley, CO 80634

Mailing address

6767 W 29TH Street
1St Floor
Greeley, CO 80634-5474
Phone (703) 132-7759

Other practice location 1

353 W Drake Rd
Ste 140
Fort Collins, CO 80526-3071
Phone (970) 430-7055 ext. 07055

Other practice location 2

4401 Union St
Johnstown, CO 80534
Phone (970) 619-3400

Other practice location 3

4617 W 20th St Ste 2A
Greeley, CO 80634-3207
Phone (970) 352-9022

Other practice location 4

6767 West 29th Street
1st Floor
Greeley, CO 80634
Phone (970) 313-2775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000338 CO Practitioner - Physical Therapist in Private Practice 2264776020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0014245COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Dec 2, 2019 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist PastSince Oct 8, 2018 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2315 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 212-7600

2315 E Harmony Rd
Ste 170
Fort Collins, CO 80528
Phone (970) 495-8450

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

6767 29th St
Fl 1
Greeley, CO 80634
Phone (970) 652-2477

5881 W 16th St
Ste B
Greeley, CO 80634
Phone (970) 336-1500

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1922555218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W 29TH STREET",
            "address_2": "1ST FLOOR",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345474",
            "telephone_number": "703-132-7759",
            "fax_number": "970-313-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 WEST 29TH STREET",
            "address_2": "1ST FLOOR",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-313-2775",
            "fax_number": "970-313-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 W Drake Rd",
            "address_2": "Ste 140",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805263071",
            "country_code": "US",
            "telephone_number": "970-430-7055 x07055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Union St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "80534",
            "country_code": "US",
            "telephone_number": "970-619-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4617 W 20th St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343207",
            "country_code": "US",
            "telephone_number": "970-352-9022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6767 West 29th Street",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "country_code": "US",
            "telephone_number": "970-313-2775",
            "fax_number": "970-313-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.