Jenna M Kincaid, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10916 Issued in CO

Practice address

140 East Boardwalk Drive
Unit a
Fort Collins, CO 80525-3153

Phone

(970) 223-8293

NPI assigned

Sep 3, 2009

Last updated

Feb 27, 2017By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1134352347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST",
            "address_2": "STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461236",
            "telephone_number": "970-223-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 EAST BOARDWALK DRIVE",
            "address_2": "UNIT A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253153",
            "telephone_number": "970-223-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LICENSE #",
            "identifier": "10916",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Kimbrow
• Abigail J Kimm, PHD, LP
• Kincaid Chiropractic PLLC (Advantage Chiropractic and Wellness Center)
• Casey Michael Kincaid, D.C.
• Eric John Kincaid, D.C.
• Mark Kincaid, DPT
• Jody Lynn Kind, RN, NFP
• Adrian Kinder
• Kindful Life, LLC
• Kindred Sound Music Therapy LLC

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.