Vinitha Kodali, PT, DPT in Parker, CO - Medicare Physical Therapist Provider

Vinitha Kodali, PT, DPT is a medicare enrolled "Physical Therapist" provider in Parker, Colorado. Her current practice location is 19284 Cottonwood Dr Ste 203, Parker, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 788-7365.

Vinitha Kodali is licensed to practice in Colorado (license number PTL.0020518) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457812760.

Contact Information

	Vinitha Kodali, PT, DPT
	19284 Cottonwood Dr Ste 203, Parker, CO 80138-3881
	(720) 788-7365
	(720) 294-1426

Map and Direction

Healthcare Provider's Profile

Full Name	Vinitha Kodali
Gender	Female
Speciality	Physical Therapist
Location	19284 Cottonwood Dr Ste 203, Parker, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457812760
Provider Enumeration Date: 03/28/2019
Last Update Date: 05/30/2025

Medicare PECOS Information:

PECOS PAC ID: 2567795099
Enrollment ID: I20230123001100

Medical Identifiers

Medical identifiers for Vinitha Kodali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457812760	NPI	-	NPPES
LPT30510	Other	AZ	PHYSICAL THERAPY LICENSE
5501019552	Other	MI	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501019552 (Michigan)	Secondary
225100000X	Physical Therapist	PTL.0020518 (Colorado)	Primary
225100000X	Physical Therapist	30510 (Arizona)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vinitha Kodali allows following entities to bill medicare on her behalf.

Provider Name	Mansach Enterprises Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1477989937 PECOS PAC ID: 5991934184 Enrollment ID: O20140211000726

Provider Name	Bluestone Childrens Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841781531 PECOS PAC ID: 8325375561 Enrollment ID: O20190809001477

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vinitha Kodali is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Vinitha Kodali, PT, DPT 1557 N Logan St Unit 826, Denver, CO 80203-2162 Ph: (248) 857-6776	Vinitha Kodali, PT, DPT 19284 Cottonwood Dr Ste 203, Parker, CO 80138-3881 Ph: (720) 788-7365

Reviews and Comments

Physical Therapist in Parker, CO

Sara Suzanne Hoffman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18900 E Mainstreet, Parker, CO 80134 Phone: 720-728-0601
Heather Dawn Wiedebusch, M.S.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11939 Bolton Dr, Parker, CO 80134 Phone: 303-792-3555
Ms. Kimberly R Phelps, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10001 S Oswego St, Parker, CO 80134 Phone: 303-790-1910 Fax: 303-792-2479
Timothy Michael Loar, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 Phone: 303-840-4667
Shawn Donnelly, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16522 Keystone Blvd, Parker, CO 80134 Phone: 303-840-7325
Mrs. Mitzie Renee Gibbs, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19964 Hilltop Rd Ste B, Parker, CO 80134 Phone: 303-840-4667 Fax: 303-840-4658
Dorna Dean Ottenbreit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10276 Arrowhead Ln, Parker, CO 80138 Phone: 303-906-2288 Fax: 303-841-8686

Vinitha Kodali, PT, DPT - Medicare Physical Therapist in Parker, CO