Individual provider Active NPI

Dinell Jacobson, P.T.

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1265464689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6725 Issued in CO
Practice address
720 W 84TH Ave
Ste. 102
Denver, CO 80260-4810
Phone
(303) 426-0967
Fax
(303) 426-4241
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6725 CO Primary

Addresses

Primary practice location

720 W 84TH Ave
Ste. 102
Denver, CO 80260-4810

Mailing address

235 Longspur Dr
Brighton, CO 80601-5313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180213001601 CO Practitioner - Physical Therapist in Private Practice 3779843776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Physical Therapy Prof LLCGroup PAC ID 3779470760, 21 clinicians

Practice addresses (Care Compare)

10485 N Sheridan Blvd
Fit Physical Therapy
Westminster, CO 80020-4135
Phone (303) 409-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6725COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Fit Physical Therapy Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Fit Physical Therapy Prof LLC Current Accepting new patients

Locations

6350 Eldridge St
Arvada, CO 80004
Phone (303) 409-2133

6612 S Ward St
Littleton, CO 80127
Phone (303) 409-2133

10485 Sheridan Blvd
Westminster, CO 80020
Phone (303) 409-2133

10485 Sheridan Blvd
Ste 200
Westminster, CO 80020
Phone (303) 466-8344

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265464689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 LONGSPUR DR",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806015313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 84TH AVE",
            "address_2": "STE. 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802604810",
            "telephone_number": "303-426-0967",
            "fax_number": "303-426-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "DINELL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.