Healthcare Provider Details

I. General information

NPI: 1740939644
Provider Name (Legal Business Name): JOSHUA KASEFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2022
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12631 E 17TH AVE STE F493
AURORA CO
80045-2527
US

IV. Provider business mailing address

12631 E 17TH AVE STE F493
AURORA CO
80045-2527
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-1980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License NumberTL.0011372
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: