Jessica P. Khani

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15640 Issued in CO

Practice address

7375 E Orchard Rd Ste 200
Greenwood Village, CO 80111-2510

Phone

(303) 773-0771

NPI assigned

Jun 18, 2018

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Madruga Rehab Centers, LLC

  • Physical Therapy Clinic/Center
  • Greenwood Village, CO
  • NPI 1053776559
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1083108666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 E ORCHARD RD STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112510",
            "telephone_number": "303-773-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 E ORCHARD RD STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112510",
            "telephone_number": "303-773-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANI",
        "first_name": "JESSICA",
        "middle_name": "P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "15640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326339722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "272955524",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Keyerleber, OTR/L
• Thomas J Keyes, MD
• Keystone Health & Wellness Center Inc
• Farah N Khan, MD
• Misbah Faraz Khan, PT
• Kiddos ABA Co LLC
• Tamara Anne Kiekhaefer, LCSW
• Emily Jane Siegler Kim, M.S. CCC-SLP
• Jennie Kim, MA
• Kyung Ah Kim, MA, LPC

• Physical Therapist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.