Active NPI
Jill Engelstad, PHYSICAL THERAPIST
- Physical Therapist
- Wheat Ridge, CO
National Provider Identifier
1215474937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0013913
- Practice address
- 9830 W I-70 Frontage Rd S
Wheat Ridge, CO 80033 - Phone
- (303) 467-4121
- NPI assigned
- Jan 20, 2017
- Sex
- Female
- 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 | 0013913 | CO | Primary |
Addresses
Primary practice location
9830 W I-70 Frontage Rd S
Wheat Ridge, CO 80033
Mailing address
1109 W Main St
Ste B
Valley City, ND 58072-3639
Phone (701) 890-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013913 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1215474937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 W MAIN ST",
"address_2": "STE B",
"city": "VALLEY CITY",
"state": "ND",
"postal_code": "580723639",
"telephone_number": "701-890-7900",
"fax_number": "701-890-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9830 W I-70 FRONTAGE RD S",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80033",
"telephone_number": "303-467-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELSTAD",
"first_name": "JILL",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0013913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.