KATARINA RENEE WISNIEWSKI PT, DPT
NPI 1669033940
Physical Therapist - Orthopedic in Broomfield, CO
About Katarina Renee Wisniewski Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATARINA RENEE WISNIEWSKI PT, DPT (NPI 1669033940) is an individual orthopedic provider in Broomfield, Colorado, licensed in Colorado (0016442) and active in the NPI registry since June 2019. She is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katarina Renee Wisniewski Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Katarina Wisniewski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Broomfield, CO 80021
- Reassigned Medicare billing, Colorado enrollment
- 1,270 clinicians in this Medicare group
Denver, CO 80246
- Reassigned Medicare billing, Colorado enrollment
- 373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WESTMINSTER, CO 80021
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Katarina Wisniewski's NPI number?
The NPI number for Katarina Wisniewski is 1669033940. It was assigned to this individual provider in the NPPES registry on June 26, 2019.
Where is Katarina Wisniewski located?
Katarina Wisniewski practices at 10081 Wadsworth Pkwy Ste 120, Broomfield, CO 80021. The listed phone number is (303) 465-0084.
What is Katarina Wisniewski's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Katarina Wisniewski enrolled in Medicare?
Yes. Katarina Wisniewski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Katarina Wisniewski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katarina Wisniewski reassigns Medicare benefits to 2 organizations: Intermountain Medical Group Denver, LLC (Broomfield, CO) and Colorado Luna Care Physical Therapy LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katarina Wisniewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katarina Wisniewski was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Katarina Renee Wisniewski, PT, DPT · NPI 1669033940
Orthopedic provider in Broomfield, Colorado. Individual provider, active in the CMS NPPES registry since June 26, 2019.
## Identity
- **NPI:** 1669033940 (Entity type: Individual)
- **Enumerated:** June 26, 2019
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 0016442 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10081 WADSWORTH PKWY STE 120, Broomfield, CO 80021-3827
- **Phone:** (303) 465-0084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Intermountain Medical Group Denver, LLC (NPI 1053083618, Broomfield, CO); Colorado Luna Care Physical Therapy LLC (NPI 1891461125, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1669033940) · Data from the CMS NPPES public registry.