Individual provider Active NPI

Jennifer Spiric, PT, DPT

  • Physical Therapist
  • Arvada, CO
National Provider Identifier
1073868030
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0011794 Issued in CO
Practice address
13825 W 85TH Dr Ste 200
Arvada, CO 80005-1328
Phone
(720) 524-4659
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0011794 CO Primary

Addresses

Primary practice location

13825 W 85TH Dr Ste 200
Arvada, CO 80005-1328

Mailing address

13825 W 85TH Dr Ste 200
Arvada, CO 80005-1328
Phone (720) 524-4659

Other names 1

  • Jennifer Keller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710001151 CO Practitioner - Physical Therapist in Private Practice 1456774330 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0011794COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Method Physical Therapy and Fitness, PLLC Physical Therapist CurrentSince Jul 2, 2020 Accepting new patients
Mann Method Therapy Network Physical Therapist CurrentSince Jul 30, 2024 Accepting new patients
Mann Method Physical Therapy and Fitness, PLLC Physical Therapist CurrentSince Jul 2, 2020 Accepting new patients

Locations

13825 W 85th Dr
Ste 200
Arvada, CO 80005
Phone (720) 524-4659

9053 Harlan St
Ste 60
Westminster, CO 80031

Organizations & group practices 3

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1073868030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 W 85TH DR STE 200",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051328",
            "telephone_number": "720-524-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 W 85TH DR STE 200",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051328",
            "telephone_number": "720-524-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRIC",
        "first_name": "JENNIFER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KELLER",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.