Individual provider Active NPI

Jillian Burkhard, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1417583667
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1550 S Pearl St Ste 101
Denver, CO 80210-2645
Phone
(209) 663-3534
NPI assigned
Mar 19, 2020
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 Primary

Addresses

Primary practice location

1550 S Pearl St Ste 101
Denver, CO 80210-2645

Mailing address

1550 S Pearl St Ste 101
Denver, CO 80210-2645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325003774 CO Practitioner - Physical Therapist in Private Practice 1355779349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feldhake Physical Therapy, LTD. CurrentSince Feb 10, 2020 Accepting new patients

Locations

2418 E Bridge St
Brighton, CO 80601
Phone (303) 655-8699

7340 S Alton Way
Ste 11-D
Centennial, CO 80112
Phone (720) 493-1181

1550 S Pearl St
Ste 101
Denver, CO 80210
Phone (303) 778-7246

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1417583667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S PEARL ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S PEARL ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102645",
            "telephone_number": "209-663-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARD",
        "first_name": "JILLIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.