Individual provider Active NPI

Jessica Sarah Janiszewski, P.T, D.P.T.

  • Geriatric Physical Therapist
  • Denver, CO
National Provider Identifier
1487893384
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
10776 Issued in CO
Practice address
4686 E Asbury Cir
Denver, CO 80222-4723
Phone
(303) 756-1566
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 029656-1 NY
Orthopedic Physical Therapist 2251X0800X 029656-1 NY
Geriatric Physical Therapist 2251G0304X 10776 CO Primary

Addresses

Primary practice location

4686 E Asbury Cir
Denver, CO 80222-4723

Mailing address

4686 E Asbury Cir
Denver, CO 80222-4723
Phone (303) 756-1566

Other names 1

  • Jessica Sarah Fattal Former name

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

LicenseStateTypeSpecialty
10776COMDGeriatric Physical Therapist
029656-1NYMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1487893384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 E ASBURY CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224723",
            "telephone_number": "303-756-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 E ASBURY CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224723",
            "telephone_number": "303-756-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANISZEWSKI",
        "first_name": "JESSICA",
        "middle_name": "SARAH",
        "credential": "P.T, D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029656-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "029656-1",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "10776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FATTAL",
            "middle_name": "SARAH",
            "credential": "P.T., D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 17, 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.

Verify at the official NPI Registry.