Individual provider Active NPI

Jacob D Rosengarten, PT, DPT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1457205502
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0021144 Issued in CO
Practice address
2861 W 120TH Ave Ste 120
Westminster, CO 80234-2985
Phone
(303) 469-6980
Fax
(303) 469-6984
NPI assigned
Feb 25, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 PTL.0021144 CO Primary

Addresses

Primary practice location

2861 W 120TH Ave Ste 120
Westminster, CO 80234-2985

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260305000671 CO Practitioner - Physical Therapist in Private Practice 1759863087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reform Health and Rehab, LLCGroup PAC ID 6002240744, 14 clinicians

Practice addresses (Care Compare)

2861 W 120TH Ave
Suite 120
Westminster, CO 80234-2985
Phone (303) 469-6980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0021144COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reform Health & Rehab, LLC Physical Therapist CurrentSince Feb 25, 2026 Accepting new patients
Reform Health & Rehab, LLC Physical Therapist CurrentSince Feb 25, 2026 Accepting new patients

Locations

3000 Center Green Dr
Ste 110
Boulder, CO 80301
Phone (303) 413-9903

2861 W 120th Ave
Ste 120
Westminster, CO 80234
Phone (303) 469-6980

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1457205502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 W 120TH AVE STE 120",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342985",
            "telephone_number": "303-469-6980",
            "fax_number": "303-469-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENGARTEN",
        "first_name": "JACOB",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0021144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.