Individual provider Active NPI

Jeni Linn Gill, MT

  • Massage Therapist
  • Westminster, CO
National Provider Identifier
1336845627
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0011154 Issued in CO
Practice address
12071 Tejon St Ste 300
Westminster, CO 80234-2320
Phone
(720) 720-0600
Fax
(303) 648-5877
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0011154 CO Primary

Addresses

Primary practice location

12071 Tejon St Ste 300
Westminster, CO 80234-2320

Mailing address

12071 Tejon St Ste 300
Westminster, CO 80234-2320
Phone (720) 720-0600

Other names 1

  • Jeni Coursey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT.0011154COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Injury Treatment Center, LLC Massage Therapist CurrentSince Feb 12, 2023 Accepting new patients

Locations

12071 Tejon St
Ste 300
Westminster, CO 80234
Phone (720) 702-0600

Organizations & group practices 1

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1336845627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12071 TEJON ST STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342320",
            "telephone_number": "720-720-0600",
            "fax_number": "303-648-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12071 TEJON ST STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342320",
            "telephone_number": "720-720-0600",
            "fax_number": "303-648-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JENI",
        "middle_name": "LINN",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0011154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENI",
            "last_name": "COURSEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.