Individual provider Active NPI

Jennifer McLaggan, PT, DPT

  • Physical Therapist
  • Brighton, CO
National Provider Identifier
1104277466
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0014166 Issued in CO
Practice address
1093 E Bridge St
Brighton, CO 80601-2252
Phone
(303) 655-9005
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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 0014166 CO Primary

Addresses

Primary practice location

1093 E Bridge St
Brighton, CO 80601-2252

Mailing address

1093 E Bridge St
Brighton, CO 80601-2252
Phone (303) 655-9005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727000323 CO Practitioner - Physical Therapist in Private Practice 5092008151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Physical Therapy Prof LLCGroup PAC ID 3779470760, 21 clinicians

Practice addresses (Care Compare)

2200 S Kipling St
Lakewood, CO 80227-2126
Phone (303) 409-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0014166COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Fit Physical Therapy Prof LLC Current Accepting new patients
Peak Form LLC Physical Therapist CurrentSince Jun 30, 2016 Accepting new patients
Fit Physical Therapy Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Peak Form LLC Physical Therapist CurrentSince Jun 30, 2016 Accepting new patients
Peak Form LLC Physical Therapist Current Accepting new patients

Locations

6350 Eldridge St
Arvada, CO 80004
Phone (303) 409-2133

1093 E Bridge St
Brighton, CO 80601
Phone (303) 655-9005

2200 S Kipling St
Lakewood, CO 80227
Phone (303) 409-2133

6612 S Ward St
Littleton, CO 80127
Phone (303) 409-2133

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1104277466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012252",
            "telephone_number": "303-655-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012252",
            "telephone_number": "303-655-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAGGAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.