Active NPI
Kristin Erica Schwarck, PT
- Physical Therapist
- Breckenridge, CO
National Provider Identifier
1942589023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8478
- Practice address
- 122 South Main Street
Suite D
Breckenridge, CO 80424 - Phone
- (970) 306-8609
- NPI assigned
- Aug 8, 2011
- Last updated
- Oct 19, 2012
- 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 | 8478 | CO | Primary |
Addresses
Primary practice location
122 South Main Street
Suite D
Breckenridge, CO 80424
Mailing address
PO Box 13
Edwards, CO 81632-0013
Phone (970) 306-8609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 S Main St
Suite D
Breckenridge, CO 80424-6209
Phone (970) 453-3990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axis Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Axis Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Medford Sports Injury & Therapy Center, Inc. | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Avon, CO
- NPI 1952652984
-
dba Axis Sports Medicine
- Physical Therapist
- Breckenridge, CO
- NPI 1750049821
-
- Physical Therapist
- Medford, OR
- NPI 1932279916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1942589023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816320013",
"telephone_number": "970-306-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 SOUTH MAIN STREET",
"address_2": "SUITE D",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "970-306-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARCK",
"first_name": "KRISTIN",
"middle_name": "ERICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Breckenridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.