Active NPI
Karissa Ruth Deptula, PT, DPT
- Physical Therapist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0020745
- Practice address
- 5643 N Academy Blvd
Colorado Springs, CO 80918-3658 - Phone
- (720) 316-9974
- Fax
- (720) 294-0332
- NPI assigned
- Oct 3, 2025
- 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 | PTL.0020745 | CO | Primary |
Addresses
Primary practice location
5643 N Academy Blvd
Colorado Springs, CO 80918-3658
Mailing address
PO Box 21150
Boulder, CO 80308-4150
Phone (720) 316-9974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251211001587 | CO | Practitioner - Physical Therapist in Private Practice | 1951895416 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Physioroom, LLC
Practice addresses (Care Compare)
11665 Ridgeline Dr
Suite 140
Colorado Springs, CO 80921-3959
Phone (720) 316-9974
8925 Ridgeline Blvd
Suite 102
Highlands Ranch, CO 80129-2354
Phone (720) 560-5326
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0020745 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physioroom, LLC | Current | Accepting new patients | |
| The Physioroom, LLC | Current | Accepting new patients | |
| The Physioroom, LLC | Physical Therapist | Current | Accepting new patients |
Locations
5643 N Academy Blvd
Colorado Springs, CO 80918
Phone (720) 316-9974
8925 Ridgeline Blvd
Ste 102
Highlands Ranch, CO 80129
Phone (720) 316-9974
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.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1366215147
-
- Orthopedic Physical Therapist
- Denver, CO
- NPI 1437862406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1962376707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21150",
"city": "BOULDER",
"state": "CO",
"postal_code": "803084150",
"telephone_number": "720-316-9974",
"fax_number": "720-294-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5643 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183658",
"telephone_number": "720-316-9974",
"fax_number": "720-294-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPTULA",
"first_name": "KARISSA",
"middle_name": "RUTH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-03",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0020745",
"primary": true
}
],
"identifiers": [],
"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 3, 2025; 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.