Individual provider Active NPI

Jennifer Ann McIntosh, PT, ATC

  • Specialist
  • Lakewood, CO
National Provider Identifier
1326210600
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5022 Issued in CO
Practice address
2195 South Field Way
Lakewood, CO 80227
Phone
(303) 506-6422
Fax
(303) 273-3362
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5022 CO Primary
Specialist 174400000X CO

Addresses

Primary practice location

2195 South Field Way
Lakewood, CO 80227

Mailing address

2195 South Field Way
Lakewood, CO 80227
Phone (303) 506-6422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171201002500 CO Practitioner - Physical Therapist in Private Practice 4688931421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
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)

6350 Eldridge St
Fit Physical Therapy
Arvada, CO 80004-3616
Phone (303) 409-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5022COMDProfessional Counselor
069902479COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy Prof LLC Current Accepting new patients
Fit Physical Therapy CurrentSince Mar 1, 2008 Accepting new patients
Fit Physical Therapy Past Accepting new patients

Locations

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

2200 S Kipling St
Lakewood, CO 80227
Phone (303) 409-2133

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1326210600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 SOUTH FIELD WAY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80227",
            "telephone_number": "303-506-6422",
            "fax_number": "303-273-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 SOUTH FIELD WAY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80227",
            "telephone_number": "303-506-6422",
            "fax_number": "303-273-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mr.",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "5022",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.