Jillian Eliseq Bare, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11343 Issued in CO

Practice address

311 Mapleton Ave
Boulder, CO 80304-3979

Phone

(303) 544-5758

NPI assigned

Sep 29, 2011

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

Other names 1

• Jillian Elise Erickson Former name

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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1275817090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 E 17TH AVE APT 3G",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181469",
            "telephone_number": "505-570-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAPLETON AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043979",
            "telephone_number": "303-544-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARE",
        "first_name": "JILLIAN",
        "middle_name": "ELISEQ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "ERICKSON",
            "middle_name": "ELISE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarkis Barbarian
• Anthony S. Barber, D.O.
• Susan M Barbieri, LPC
• Matthew Barcello
• Gina L Bare, RN
• Molly Barfield, DPT
• Cynthia L Bargman, RNC
• Anupam Barlow, CMT
• Emily Lynn Barnak, PA-C
• Barnes TMJ & Sleep Solutions, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.