Organization Active NPI

Worktime Athletic Performance

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Colorado Springs, CO
National Provider Identifier
1366360489
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
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

Updated by the provider on Jul 7, 2026

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)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.