Active NPI
Sarah R Kelly, P.T.
- Physical Therapist
- Highlands Ranch, CO
National Provider Identifier
1942537808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0014567
- Practice address
- 1152 Chimney Rock Rd
Highlands Ranch, CO 80126-2550 - Phone
- (480) 273-3448
- NPI assigned
- Nov 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 0014567 | CO | Primary |
Addresses
Primary practice location
1152 Chimney Rock Rd
Highlands Ranch, CO 80126-2550
Mailing address
1152 Chimney Rock Rd
Highlands Ranch, CO 80126-2550
Phone (720) 284-8174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200527001972 | CO | Practitioner - Physical Therapist in Private Practice | 8022153618 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790
8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100
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.
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1942537808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1152 CHIMNEY ROCK RD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801262550",
"telephone_number": "720-284-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1152 CHIMNEY ROCK RD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801262550",
"telephone_number": "480-273-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "SARAH",
"middle_name": "R",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-12",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0014567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.