Active NPI
Jerlin Amistoso, DPT
- Physical Therapist
- Englewood, CO
National Provider Identifier
1093498719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0014408
- Practice address
- 3401 S Lafayette St
Englewood, CO 80113-2926 - Phone
- (303) 761-0075
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0014408 | CO | Primary |
Addresses
Primary practice location
3401 S Lafayette St
Englewood, CO 80113-2926
Mailing address
4757 Sutton St
Castle Rock, CO 80104-3249
Phone (303) 210-8225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0014408 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1093498719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4757 SUTTON ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801043249",
"telephone_number": "303-210-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 S LAFAYETTE ST",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132926",
"telephone_number": "303-761-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMISTOSO",
"first_name": "JERLIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0014408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
- American Current Care P.a. (Concentra Urgent Care)
- American Current Care PA PC
- American Housing Foundation 1 (Chareau des Mons)
- American Housing Foundation I (Julia Temple Center)
- Amg Home Health of Colorado LLC
- Diane M Ampe, NNP
- Jae An, RN
- Mark David Andersen-Nissen
- Jadyn Anderson, DO
- Janeen Anderson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.