Active NPI
Shana Jacob
- Physical Therapist
- Thornton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9351 Grant St Ste 430
Thornton, CO 80229-4365 - Phone
- (303) 280-1211
- NPI assigned
- Sep 6, 2022
- Last updated
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0021425 | CO | |
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapist | 225100000X | LPT-034506 | AZ |
Addresses
Primary practice location
9351 Grant St Ste 430
Thornton, CO 80229-4365
Mailing address
9351 Grant St Ste 430
Thornton, CO 80229-4365
Other practice location 1
890 N Green St Ste A
Brownsburg, IN 46112-1031
Phone (317) 520-5479
Other practice location 2
2401 Ravine Way Ste 100
Glenview, IL 60025-7645
Phone (847) 724-4791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, CA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 Meridian Ave
Suite 150
San Jose, CA 95125-5352
Phone (408) 606-7951
890 N Green St
Suite a
Brownsburg, IN 46112-1031
Phone (317) 520-5479
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-034506 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
890 N Green St
#A
Brownsburg, IN 46112
Phone (317) 520-5479
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
Organizations & group practices 5
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Physical Therapist
- San Jose, CA
- NPI 1740374529
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Thornton, CO
- NPI 1982654190
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1376264739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9351 GRANT ST STE 430",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9351 GRANT ST STE 430",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294365",
"telephone_number": "303-280-1211"
}
],
"practiceLocations": [
{
"address_1": "890 N Green St Ste A",
"address_purpose": "LOCATION",
"city": "Brownsburg",
"state": "IN",
"postal_code": "461121031",
"country_code": "US",
"telephone_number": "317-520-5479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 Ravine Way Ste 100",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600257645",
"country_code": "US",
"telephone_number": "847-724-4791",
"fax_number": "847-998-6916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOB",
"first_name": "SHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0021425",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-034506",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.