Active NPI
Jonathan D Newberry, PT
- Pediatric Physical Therapist
- Lakewood, CO
National Provider Identifier
1396057402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 10816
- Practice address
- 8763 W Cornell Ave Apt 5
Lakewood, CO 80227-4850 - Phone
- (309) 826-3758
- NPI assigned
- Jul 6, 2010
- Last updated
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 10816 | CO | Primary |
Addresses
Primary practice location
8763 W Cornell Ave Apt 5
Lakewood, CO 80227-4850
Mailing address
8763 W Cornell Ave Apt 5
Lakewood, CO 80227-4850
Phone (309) 826-3758
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10816 | CO | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiddos Way Inc | Pediatrics | Current | Accepting new patients |
| Kiddos Connection Physical Therapy | Current | Accepting new patients |
Organizations & group practices 2
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 Kiddos Connection PT
- Early Intervention Provider Agency
- Denver, CO
- NPI 1861800641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1396057402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8763 W CORNELL AVE APT 5",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802274850",
"telephone_number": "309-826-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8763 W CORNELL AVE APT 5",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802274850",
"telephone_number": "309-826-3758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "JONATHAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CO",
"license": "10816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
- New Trail Counseling
- New West Physicians Inc (New West Physicians Specialty Center)
- New West Physicians Inc (Clinical Research)
- New West Physicians Inc (Lakewood Internal Medicine)
- Stephanie New
- James David Newcomb, LPC , CAC III
- Krista Deanne Newman, PAC
- Madison Newman
- Nicole Leann Newman, LCSW
- Susan Marie Newman, L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.