Stephen A Black, MPT, DSC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0007398 Issued in CO

Practice address

12510 E Iliff Ave Ste 210
Aurora, CO 80014-6377

Phone

(303) 862-8853

Fax

(720) 379-5827

NPI assigned

Apr 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• J Medical Inc

  • Physical Medicine & Rehabilitation Physician
  • Westminster, CO
  • NPI 1710642806
  NPD (past)

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1497442404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 E ILIFF AVE STE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146377",
            "telephone_number": "303-862-8853",
            "fax_number": "720-379-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 E ILIFF AVE STE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146377",
            "telephone_number": "303-862-8853",
            "fax_number": "720-379-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7124 Federal Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800305520",
            "country_code": "US",
            "telephone_number": "720-502-3670",
            "fax_number": "720-398-8675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9101 Pearl St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294390",
            "country_code": "US",
            "telephone_number": "720-328-1246",
            "fax_number": "720-389-6543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 Wadsworth Blvd Ste 425",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800334652",
            "country_code": "US",
            "telephone_number": "303-564-5008",
            "fax_number": "720-484-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "MPT, DSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0007398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Olivia Black, M.D.
• Margaret Ann Black, MD
• Paulina Black
• Randi Black
• River Gilmore Black, MD
• Susan Ann Black, MD
• Carol Jean Blackard, M.D.
• Zailyn Prada Blackburn, MATS
• Nicole Blackford, PHARMD
• Robert Blackham

• Physical Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.