Jennifer Lorenzana Oblanca, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

12279 Issued in CO

Practice address

835 Tenderfoot Hill Rd
Colorado Springs, CO 80906-3903

Phone

(719) 226-6530

NPI assigned

Dec 5, 2012

Last updated

Dec 6, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1245575018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 ABBEYWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809235487",
            "telephone_number": "719-599-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 TENDERFOOT HILL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063903",
            "telephone_number": "719-226-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLANCA",
        "first_name": "JENNIFER",
        "middle_name": "LORENZANA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "12279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Obermark Jr.
• Kaitlyn Obermuler
• Obhg Colorado, P.C.
• Obhg Colorado, P.C.
• Jodi Obirek, LCSW
• Ray John Oblanca
• Oborny Chiropractic of Colorado Springs, LLC
• Jared M. Oborny, D.C.
• Jeremy Oborny, D.C.
• Rachel Obregon

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.