Active NPI
Alisha Jacobs, DC
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1407140833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6759
- Practice address
- 1103 Oak Park Dr
Fort Collins, CO 80525-6273 - Phone
- (970) 420-9489
- NPI assigned
- Jun 2, 2011
- Last updated
- Jan 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6759 | CO | Primary |
| Chiropractor | 111N00000X | 4117 | OR |
Addresses
Primary practice location
1103 Oak Park Dr
Fort Collins, CO 80525-6273
Mailing address
PO Box 270474
Fort Collins, CO 80527-0474
Phone (970) 420-9489
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6759 | CO | MD | General Practice Dentistry |
| 4117 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Medical Group Inc | Chiropractor | Past | Accepting new patients |
| Institute of Physical Medicine & Sports Therapy Inc | Past | Accepting new patients | |
| Clinical Biomechanics of Posture (CBP) of Colorado a LLC | Past | Accepting new patients |
Organizations & group practices 3
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 CBP Spine Center
- Rehabilitation Chiropractor
- Windsor, CO
- NPI 1992871859
-
- Physical Therapist
- Windsor, CO
- NPI 1639155708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1407140833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270474",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805270474",
"telephone_number": "970-420-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 OAK PARK DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256273",
"telephone_number": "970-420-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "ALISHA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6759",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "4117",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.