Active NPI
Jacob Lance Marino, PT, DPT
- Physical Therapist
- Golden, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP044946T
- Practice address
- 112 N Rubey Dr Unit 135
Golden, CO 80403-3214 - Phone
- (303) 279-7703
- NPI assigned
- Aug 30, 2023
- Last updated
- Jun 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP044946T | CO | Primary |
Addresses
Primary practice location
112 N Rubey Dr Unit 135
Golden, CO 80403-3214
Mailing address
112 N Rubey Dr Unit 135
Golden, CO 80403-3214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP044946T | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiofit Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Physiofit Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy of West Denver Limited Partnership | Past | Accepting new patients | |
| Theraphysics Partners of Colorado, Inc. | Physical Therapist | Past | Accepting new patients |
| Theraphysics Partners of Colorado, Inc. | Past | Accepting new patients | |
| Theraphysics Partners of Colorado, Inc. | Past | Accepting new patients | |
| Select Physical Therapy of West Denver Limited Partnership | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
12627 Airline Hwy
Ste A
Destrehan, LA 70047
Phone (985) 603-4157
120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-2229
Organizations & group practices 7
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.
-
- Physical Therapist
- Raceland, LA
- NPI 1699111674
-
- Physical Therapist
- New Orleans, LA
- NPI 1477050656
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lakewood, CO
- NPI 1104895754
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1942279567
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Golden, CO
- NPI 1285660936
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lakewood, CO
- NPI 1427084912
-
dba Physiotherapy Associates
- Physical Therapy Clinic/Center
- Broomfield, CO
- NPI 1457364069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1316722044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N RUBEY DR UNIT 135",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804033214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N RUBEY DR UNIT 135",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804033214",
"telephone_number": "303-279-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "JACOB",
"middle_name": "LANCE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-30",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP044946T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.