Christina Nicole Jacko-Ball, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017662 Issued in CO

Practice address

343 W Drake Rd Ste 102
Fort Collins, CO 80526-2880

Phone

(970) 204-9635

Fax

(970) 204-9730

NPI assigned

Jun 9, 2021

Last updated

Feb 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Spine and RehabilitationGroup PAC ID 0648167767, 7 clinicians

Practice addresses (Care Compare)

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.

• Advanced Spine & Rehabilitation

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1992790141

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1073180923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W DRAKE RD STE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262880",
            "telephone_number": "970-204-9635",
            "fax_number": "970-204-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W DRAKE RD STE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262880",
            "telephone_number": "970-204-9635",
            "fax_number": "970-204-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKO-BALL",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Ivey, M.S., CCC-SLP
• Laura Katherine Ivy
• Meriam Pacan Izon, M.D.
• J. David Cranor MD LLC
• Jackie Lynch, LLC
• Jackson Eye Care, PC
• Jackson Eyecare, PC (Jackson Eye Care)
• Jackson Fisk Integrative Health Care (Jackson Fisk Body & Soul)
• Amy Jackson, AGACNP-BC, APN
• Daniel Jackson, LMFT

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.