Individual provider Active NPI

Jessica Jane Yeaton, PT, DPT

  • Physical Therapist
  • Steamboat Springs, CO
National Provider Identifier
1104501840
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0018918 Issued in CO
Practice address
1024 Central Park Dr
Steamboat Springs, CO 80487-8813
Phone
(970) 871-2370
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 0018918 CO Primary

Addresses

Primary practice location

1024 Central Park Dr
Steamboat Springs, CO 80487-8813

Mailing address

586 Forest View Dr
Steamboat Springs, CO 80487-3171
Phone (907) 244-6514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306000391 CO Practitioner - Physical Therapist in Private Practice 8224474838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018918COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center Current Accepting new patients

Locations

595 Russell St
Craig, CO 81625
Phone (970) 824-1020

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

1600 Mid Valley Dr
Unit A
Steamboat Springs, CO 80487
Phone (970) 871-9770

Organizations & group practices 1

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1104501840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 FOREST VIEW DR",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804873171",
            "telephone_number": "907-244-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 CENTRAL PARK DR",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878813",
            "telephone_number": "970-871-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATON",
        "first_name": "JESSICA",
        "middle_name": "JANE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0018918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.