Jack Ervin, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0005899 Issued in CO

Practice address

1914 Iron Wheel Dr Unit 2
Windsor, CO 80550-3897

Phone

(815) 549-8089

Fax

(855) 678-8887

NPI assigned

Mar 4, 2025

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prestige Rehab Colorado

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1972333961

  Speech-Language Pathologist

  Medicare reassignment NPD
• Prestige Rehab LLC

  • Physical Therapist
  • Colts Neck, NJ
  • NPI 1750032553

  CO, Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1003614108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 IRON WHEEL DR UNIT 2",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503897",
            "telephone_number": "815-549-8089",
            "fax_number": "855-678-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 IRON WHEEL DR UNIT 2",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503897",
            "telephone_number": "815-549-8089",
            "fax_number": "855-678-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "JACK",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0005899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary T Elliott, PHARMD, PHD
• Annette Ellis
• Danny Elnatan, DC
• Joshua Emerson, PT
• Enlightened Learning Consulting LLC (Brick House Consultants)
• Regan Renee Espinosa, MOTR/L
• Eye Center of Northern Colorado, P.C. (Windsor Eye Care and Vision Center)
• Eye Center Optical of Northern Colorado LLC
• Malia Deanne Eyler, M.S., CCC-SLP
• Victorria Faatz

• Speech-Language Pathologist in Windsor, CO
• Providers in Windsor, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.