Individual provider Active NPI

Jeannine Beebe Rauch, PT

  • Physical Therapist
  • Evergreen, CO
National Provider Identifier
1124066196
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3610 Issued in CO
Practice address
30940 Stagecoach Blvd
Suite E-110
Evergreen, CO 80439-7984
Phone
(303) 674-1594
NPI assigned
Jun 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3610 CO Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000318 CO Practitioner - Physical Therapist in Private Practice 5799719019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 1759318454, 5 clinicians

Practice addresses (Care Compare)

32003 Ellingwood TRL
Evergreen, CO 80439-9778
Phone (303) 674-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Peak Physical Therapy, LLC Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
Evergreen Physical Therapy Specialists, PC CurrentSince Jan 1, 2015 Accepting new patients
Evergreen Sport & Spine Physical Therapy PC Physical Therapist PastSince May 25, 1999 Accepting new patients
Arapahoe Peak Physical Therapy, LLC PastSince Mar 25, 2024 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

Organizations & group practices 4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124066196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31634 PONDEROSA WAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804396612",
            "telephone_number": "303-670-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30940 STAGECOACH BLVD",
            "address_2": "SUITE E-110",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397984",
            "telephone_number": "303-674-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCH",
        "first_name": "JEANNINE",
        "middle_name": "BEEBE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.