Innerroot Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INNERROOT PHYSICAL THERAPY, PLLC

Practice address

6143 S Willow Dr Ste 406
Greenwood Village, CO 80111-5125

Phone

(720) 926-0103

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Kristin Nicole Anderson, P.T., D.P.TNPI 1851761191

Title

Ceo

Phone

(720) 926-0103

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Nicole Anderson, PT, DPT, OCS, CLT

  • Physical Therapist
  • Greenwood Village, CO
  • NPI 1851761191
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Hladun, PT, DPT

  • Physical Therapist
  • Parker, CO
  • NPI 1780209676
  Medicare reassignment Care Compare group NPD
• Samantha Allison Stahl, MPT

  • Physical Therapist
  • Centennial, CO
  • NPI 1679649008
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1982411328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 CLYDESDALE RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801089102",
            "telephone_number": "303-638-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 S WILLOW DR STE 406",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115125",
            "telephone_number": "720-926-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERROOT PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-926-0103",
        "authorized_official_credential": "P.T., D.P.T"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gizane Indart, MA, LPC
• Infinite Pediatric Partners LLC
• Virginia Penick Inmon, MA NCC LPC
• Innovative Cancer Care, PLLC
• Innovative Infusions, LLC
• Sarah Elizabeth Insco, BCBA
• Insight Psychotherapy LLC
• Inspired Dermatology, PLLC

• Physical Therapy Clinic/Center in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.