Jacki Ann Gilpin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0014492 Issued in CO

Practice address

2712 Fairway Dr
Cortez, CO 81321-9318

Phone

(970) 715-1719

Fax

(970) 422-7238

NPI assigned

Aug 7, 2014

Last updated

Jun 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jacki Ann Cater Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• TCPH PLLC

  dba Tri Cities Pelvic Health

  • Physical Therapist
  • Richland, WA
  • NPI 1508675703
  NPD Authorized official

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1235548884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 FAIRWAY DR",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813219318",
            "telephone_number": "970-715-1719",
            "fax_number": "970-422-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 FAIRWAY DR",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813219318",
            "telephone_number": "970-715-1719",
            "fax_number": "970-422-7238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 N Mildred Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212212",
            "country_code": "US",
            "telephone_number": "970-564-0311",
            "fax_number": "970-564-0313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILPIN",
        "first_name": "JACKI",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60708",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "0329389",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500675873",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKI",
            "last_name": "CATER",
            "middle_name": "ANN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan E Garlick
• Armen Gasparian, DDS
• Jennifer Ann Gero, M.D.
• Elaine G. Gibbes, LCSW
• Kelsey McCreedy Gilbert, PHARMD
• Brenna Nichole Goddard, COTA
• Dina Gonzales
• Erin Gordanier
• Michael Daniel Grajeda, DPT
• Alyssa Grams, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.