Provider Demographics
NPI:1316021538
Name:KAIROS LLC DBA PAONIA PHYSICAL THERAPY
Entity Type:Organization
Organization Name:KAIROS LLC DBA PAONIA PHYSICAL THERAPY
Other - Org Name:PAONIA PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:ARMSTRONG
Authorized Official - Last Name:LEIGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-527-8967
Mailing Address - Street 1:PO BOX 1761
Mailing Address - Street 2:
Mailing Address - City:PAONIA
Mailing Address - State:CO
Mailing Address - Zip Code:81428-1761
Mailing Address - Country:US
Mailing Address - Phone:970-527-8967
Mailing Address - Fax:970-527-3213
Practice Address - Street 1:101 ONARGA AVE
Practice Address - Street 2:
Practice Address - City:PAONIA
Practice Address - State:CO
Practice Address - Zip Code:81428-5068
Practice Address - Country:US
Practice Address - Phone:970-527-8967
Practice Address - Fax:970-527-3213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37242251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC806813Medicare PIN