Individual provider Active NPI

Jacob T Ross, DPT, PT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1063242535
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0021236 Issued in CO
Practice address
3401 Quebec St Ste 8200
Denver, CO 80207-2345
Phone
(303) 322-4900
Fax
(303) 322-4909
NPI assigned
Aug 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT032627 PA
Physical Therapist 225100000X PTL.0021236 CO Primary

Addresses

Primary practice location

3401 Quebec St Ste 8200
Denver, CO 80207-2345

Mailing address

1300 W Sam Houston Pkwy S Ste 300
Houston, TX 77042-2453
Phone (303) 322-4900

Other practice location 1

4115 William Penn Hwy
Murrysville, PA 15668-1887
Phone (412) 856-8060 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926000589 PA Practitioner - Physical Therapist in Private Practice 1254872583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Suburban Sports Medicine Center LPGroup PAC ID 6507306909, 24 clinicians

Practice addresses (Care Compare)

4115 William Penn Hwy
Murrysville, PA 15668-1887
Phone 41285680603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy Limited Partnership Physical Therapist CurrentSince Aug 3, 2026 Accepting new patients
East Suburban Sports Medicine Center LP Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
North Shore Sports & Physical Therapy Limited Partnership PastSince Aug 3, 2026 Accepting new patients
East Suburban Sports Medicine Center, LTD. Physical Therapist PastSince Dec 31, 2022 Accepting new patients

Locations

3401 Quebec St
Ste 8200
Denver, CO 80207
Phone (303) 322-4900

133 Donohoe Rd
Ste 200
Greensburg, PA 15601

4115 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 327-7099

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1063242535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422453",
            "telephone_number": "303-322-4900",
            "fax_number": "303-322-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 QUEBEC ST STE 8200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072345",
            "telephone_number": "303-322-4900",
            "fax_number": "303-322-4909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Murrysville",
            "state": "PA",
            "postal_code": "156681887",
            "country_code": "US",
            "telephone_number": "412-856-8060 x2",
            "fax_number": "724-863-1526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JACOB",
        "middle_name": "T",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032627",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0021236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.