Individual provider Active NPI

Jacqueline Birr, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1174042931
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15185 Issued in CO
Practice address
1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798
Phone
(719) 344-9497
Fax
(719) 358-6042
NPI assigned
Sep 13, 2017
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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 15185 CO Primary

Addresses

Primary practice location

1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798

Mailing address

4003 N Weber St Unit I
Colorado Springs, CO 80907-4430

Other identifiers 1

IdentifierTypeStateIssuer
15185OtherCOLICENES

Other names 1

  • Dr. Jacqueline Thomas Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110000238 CO Practitioner - Physical Therapist in Private Practice 4284990045 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15185COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing and Therapy Services of Colorado Inc Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients
Phenix Therapies, LLC Physical Therapist CurrentSince Sep 13, 2017 Accepting new patients

Locations

2844 Janitell Rd
Colorado Spgs, CO 80906
Phone (719) 344-9497

1130 W Woodmen Rd
Colorado Springs, CO 80919
Phone (719) 574-5562

1625 Medical Center Pt
Ste 180
Colorado Springs, CO 80907
Phone (719) 344-9497

4003 N Weber St
#6
Colorado Springs, CO 80907

4003 N Weber St
Unit 1
Colorado Springs, CO 80907
Phone (719) 232-1726

4003 N Weber St
Unit I
Colorado Springs, CO 80907
Phone (719) 344-9497

Organizations & group practices 2

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1174042931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 N WEBER ST UNIT I",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075798",
            "telephone_number": "719-344-9497",
            "fax_number": "719-358-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRR",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "15185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENES",
            "identifier": "15185",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "THOMAS",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.