Individual provider Active NPI

Jenna Jarvis, PT, DPT

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1245766534
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18377 Issued in CO
Practice address
275 Century Cir Ste 103
Louisville, CO 80027-9453
Phone
(303) 926-1444
Fax
(303) 926-0038
NPI assigned
May 4, 2017
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 18377 CO Primary

Addresses

Primary practice location

275 Century Cir Ste 103
Louisville, CO 80027-9453

Mailing address

275 Century Cir Ste 103
Louisville, CO 80027-9453
Phone (303) 926-1444

Other names 1

  • Jenna Carlson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808003026 CO Practitioner - Physical Therapist in Private Practice 2769755206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy IncGroup PAC ID 9133010978, 8 clinicians

Practice addresses (Care Compare)

275 Century Cir
Suite 103
Louisville, CO 80027-9453
Phone (303) 926-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18377COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy Inc Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Precision Pelvic Health LLC Physical Therapist CurrentSince May 14, 2023 Accepting new patients
R & S Optimal Rehab LLC Physical Therapist CurrentSince May 15, 2017 Accepting new patients

Locations

13150 W 72nd Ave
Arvada, CO 80005
Phone (303) 926-1444

275 Century Cir
Ste 103
Louisville, CO 80027
Phone (303) 926-1444

10200 W 44th Ave
Ste 339
Wheat Ridge, CO 80033
Phone (303) 926-1444

1700 S Broadway St
Ste B
Moore, OK 73160
Phone (405) 735-8777

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, 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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1245766534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CENTURY CIR STE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279453",
            "telephone_number": "303-926-1444",
            "fax_number": "303-926-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CENTURY CIR STE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279453",
            "telephone_number": "303-926-1444",
            "fax_number": "303-926-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "18377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "CARLSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.