Individual provider Active NPI

Katy Ehnstrom, DPT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1932984705
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5769 Issued in HI
Practice address
3885 17TH St
Boulder, CO 80304-1251
Phone
(603) 866-1967
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5769 HI Primary
Pediatric Physical Therapist 2251P0200X 5769 HI

Addresses

Primary practice location

3885 17TH St
Boulder, CO 80304-1251

Mailing address

3885 17TH St
Boulder, CO 80304-1251
Phone (603) 866-1967

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5769HIMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fukuji & Lum Physical Therapy Associates Inc. Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Sprouts Therapy LLC Pediatrics PastSince Feb 21, 2021 Accepting new patients

Locations

407 Uluniu St
Ste 301
Kailua, HI 96734
Phone (808) 261-4321

Organizations & group practices 2

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1932984705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 17TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041251",
            "telephone_number": "603-866-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 17TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041251",
            "telephone_number": "603-866-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHNSTROM",
        "first_name": "KATY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5769",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "HI",
            "license": "5769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.