Individual provider Active NPI

Jessica Erin Landau, DPT

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1508327610
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0016022 Issued in CO
Practice address
1075 E South Boulder Rd Ste 140
Louisville, CO 80027-2559
Phone
(720) 534-0781
Fax
(720) 534-0785
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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.0016022 CO Primary

Addresses

Primary practice location

1075 E South Boulder Rd Ste 140
Louisville, CO 80027-2559

Mailing address

1075 E South Boulder Rd Ste 140
Louisville, CO 80027-2559
Phone (720) 534-0781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623002725 CO Practitioner - Physical Therapist in Private Practice 9830590298 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A.S.K Your Physical Therapist, PCGroup PAC ID 2769889880, 3 clinicians

Practice addresses (Care Compare)

655 Briggs St
Erie, CO 80516-5022
Phone (303) 900-7798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 21, 2022 Accepting new patients
A.S.K. Your Physical Therapist, PC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 21, 2022 Accepting new patients
Front Range Physical Therapy Services LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients

Locations

1075 E South Boulder Rd
Ste 140
Louisville, CO 80027
Phone (303) 204-3699

Organizations & group practices 5

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1508327610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E SOUTH BOULDER RD STE 140",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272559",
            "telephone_number": "720-534-0781",
            "fax_number": "720-534-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E SOUTH BOULDER RD STE 140",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272559",
            "telephone_number": "720-534-0781",
            "fax_number": "720-534-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.