Jeannine Beebe Rauch, PT
Individual provider Active NPI Physical Therapist · Evergreen, CO
NPI 1124066196 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124066196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3610 (CO)
- Practice address
- 30940 Stagecoach Blvd
Suite E-110
Evergreen, CO 80439-7984 - Phone
- (303) 674-1594
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arapahoe Peak Physical Therapy, LLC
Practice addresses (Care Compare)
32003 Ellingwood TRL
Evergreen, CO 80439-9778
Phone (303) 674-5522
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050926000318 | CO | Practitioner - Physical Therapist in Private Practice | 5799719019 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Physical Therapy Specialists, PC | Current |
Accepting new patients | |
| Arapahoe Peak Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Arapahoe Peak Physical Therapy, LLC | Past |
Accepting new patients | |
| Evergreen Sport & Spine Physical Therapy PC | Physical Therapist | Past |
Accepting new patients |
Locations
30940 Stagecoach Blvd
Ste E110
Evergreen, CO 80439
Phone (303) 674-1594
32003 Ellingwood Trl
Evergreen, CO 80439
Phone (303) 674-5522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3610 | CO | Yes |
Addresses
Primary practice location
30940 Stagecoach Blvd
Suite E-110
Evergreen, CO 80439-7984
Mailing address
31634 Ponderosa Way
Evergreen, CO 80439-6612
Phone (303) 670-4553
Other providers in Evergreen, CO
- Brett Quinn
- Tana Victoria Quintana-Price
- Monica M Rabanal
- Jeannine Marie Ferrigno Randolph
- Kathryn Rasmussen
- Kari Read
- Rebecca Kennedy LLC
- Meagan Leigh Reeves
- Paul Dennis Regan
- Rehabcare
All providers in Evergreen, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.