NPIMap

Organization Active NPI

Denver Physical Therapy, P.C.

Doing business as Pro Active Physical Therapy Centennial

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1073571329
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DENVER PHYSICAL THERAPY, P.C.
Doing business as
Pro Active Physical Therapy Centennial
Synergy Sports and Rehab LLC
Practice address
6840 S University Blvd Ste 400
Centennial, CO 80122-1510
Phone
(303) 771-5120
Fax
(303) 694-4270
NPI assigned
May 3, 2006
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Erika Eden JacobNPI 1598717092
Title
Owner
Phone
(303) 628-0871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6840 S University Blvd Ste 400
Centennial, CO 80122-1510

Mailing address

2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Phone (945) 260-0010

Other identifiers 1

IdentifierTypeStateIssuer
DEN0503OtherCOANTHEM BLUE CROSS/SHIELD

Other names 2

  • Pro Active Physical Therapy Centennial Doing business as
  • Synergy Sports and Rehab LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080911000254 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961316500 Receives reassigned benefits from 90 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Strasburg, CO; Parker, CO; Brighton, CO; Lakewood, CO; Highlands Ranch, CO; Greenwood Village, CO; Englewood, CO; Eaton, CO…

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Denver Physical Therapy PC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

10100 Twenty Mile Rd
Ste 114
Parker, CO 80134
Phone (303) 902-1401

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1073571329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DALLAS PKWY STE 290",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347493",
            "telephone_number": "945-260-0010",
            "fax_number": "760-268-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 S UNIVERSITY BLVD STE 400",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221510",
            "telephone_number": "303-771-5120",
            "fax_number": "303-694-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "EDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-628-0871"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/SHIELD",
            "identifier": "DEN0503",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Active Physical Therapy Centennial",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy Sports and Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.