Jessica Shatkin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017770 Issued in CO

Practice address

6909 S Holly Cir Ste 100
Centennial, CO 80112-6300

Phone

(720) 389-8730

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1124699764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 S HOLLY CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126300",
            "telephone_number": "720-389-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 S HOLLY CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126300",
            "telephone_number": "720-389-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATKIN",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE PHYSICAL THERAPY BOARD",
            "identifier": "PTL.0017770",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marla Aliza Zeiderman Shapiro, PSY.D.
• Rita Sharma, MD
• Bazak Sharon, M.D.
• James Allen Sharon
• Ruth Sharon, LPC
• Sandy Shaw
• Alana Shealy
• Joel Shebowich, MD
• Kathleen Margaret Sheehan, MSW, LCSW, ED.D.
• Elise Nicole Shepard, LCSW

• Physical Therapist in Centennial, CO
• Providers in Centennial, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.