Jennifer Witt, DPT
Individual provider Active NPI Physical Therapist · Flagler, CO
NPI 1316410285 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1316410285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12326 (CO)
- Practice address
- 305 Pawnee Ave
Flagler, CO 80815 - Phone
- (719) 765-4340
- NPI assigned
- Jan 3, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12326 | CO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12326 | CO | Yes |
Addresses
Primary practice location
305 Pawnee Ave
Flagler, CO 80815
Mailing address
PO Box 32
Flagler, CO 80815-0032
Other providers in Flagler, CO
- Lincoln Community Hospital
- Peak Vista Community Health Centers
- Plains Medical Center, Inc.
- Speech Innovations, PLLC
- Hannah Witt
All providers in Flagler, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.