Active NPI
Jordan Winters
- Physical Therapist
- Parker, CO
National Provider Identifier
1194318105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0017531
- Practice address
- 12311 Pine Bluffs Way Unit 112
Parker, CO 80134-7402 - Phone
- (239) 239-8348
- NPI assigned
- Feb 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0017531 | CO | Primary |
Addresses
Primary practice location
12311 Pine Bluffs Way Unit 112
Parker, CO 80134-7402
Mailing address
1708 McGregor Reserve Dr
Fort Myers, FL 33901-9661
Phone (239) 834-8590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0017531 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
12311 Pine Bluffs Way
Unit 112
Parker, CO 80134
Phone (239) 239-8348
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Greeley, CO
- NPI 1154593960
-
- Multi-Specialty Clinic/Center
- Brighton, CO
- NPI 1619584398
Physical Therapist
-
- Physical Therapist
- Denver, CO
- NPI 1912717000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1194318105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 MCGREGOR RESERVE DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019661",
"telephone_number": "239-834-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12311 PINE BLUFFS WAY UNIT 112",
"city": "PARKER",
"state": "CO",
"postal_code": "801347402",
"telephone_number": "239-239-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERS",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0017531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.