Individual provider Active NPI

Jaclyn Atkinson, DPT

  • Physical Therapist
  • La Salle, CO
National Provider Identifier
1376904060
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0013826 Issued in CO
Practice address
23830 County Road 48
La Salle, CO 80645-8612
Phone
(970) 451-1234
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0013826 CO Primary

Addresses

Primary practice location

23830 County Road 48
La Salle, CO 80645-8612

Mailing address

23830 County Road 48
La Salle, CO 80645-8612
Phone (970) 451-1234

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0013826COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Therapists, LLC CurrentSince Jul 24, 2022 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Mar 7, 2016 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Mar 7, 2016 Accepting new patients

Locations

7310 S Alton Way
Ste 6L
Centennial, CO 80112
Phone (303) 790-4495

Organizations & group practices 4

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1376904060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23830 COUNTY ROAD 48",
            "city": "LA SALLE",
            "state": "CO",
            "postal_code": "806458612",
            "telephone_number": "970-451-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23830 COUNTY ROAD 48",
            "city": "LA SALLE",
            "state": "CO",
            "postal_code": "806458612",
            "telephone_number": "970-451-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0013826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Salle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.