Nathan Jenkins, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0013468 Issued in CO

Practice address

255 Union Blvd Ste 110
Lakewood, CO 80228-1833

Phone

(302) 232-0355

NPI assigned

Mar 18, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1124412960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 AUDREY CIR",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248950",
            "telephone_number": "502-322-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833",
            "telephone_number": "302-232-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "NATHAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Hills Corporation
• Jeffrey B Boscoe PSYD PC
• Jeffrey M Anderson DCPC
• Hannah Jenkins
• Kathleen Jenkins, M.D.
• Alexis Jennings
• Jillie Jennings, M.S. SLP CF
• Melody R. Jenny, LPN
• Chancellor Jensen
• Rosemary Jernigan

• Physical Therapy Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.