Active NPI
Worktime Athletic Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Colorado Springs, CO
National Provider Identifier
1366360489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- WORKTIME ATHLETIC PERFORMANCE
- Practice address
- 1710 Briargate Blvd Ste 100
Colorado Springs, CO 80920-3450 - Phone
- (719) 433-4759
- NPI assigned
- Jul 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Ivan Jackson III, DAT
- Title
- Senior Clinician
- Phone
- (719) 433-4759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary |
Addresses
Primary practice location
1710 Briargate Blvd Ste 100
Colorado Springs, CO 80920-3450
Mailing address
7105 Horizon Wood LN
Colorado Springs, CO 80927-4117
Phone (719) 433-4759
National Provider Directory
National Provider DirectoryLocations
1710 Briargate Blvd
Ste 100
Colorado Springs, CO 80920
Phone (719) 268-6312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1366360489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7105 HORIZON WOOD LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809274117",
"telephone_number": "719-433-4759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 BRIARGATE BLVD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203450",
"telephone_number": "719-433-4759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORKTIME ATHLETIC PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-07",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "IVAN",
"authorized_official_title_or_position": "SENIOR CLINICIAN",
"authorized_official_telephone_number": "719-433-4759",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DAT"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.