Active NPI
Erika Eden Jacob, P.T.
- Physical Therapist
- Denver, CO
National Provider Identifier
1598717092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 4315
- Practice address
- 1325 Glenarm PL
Denver, CO 80204-2114 - Phone
- (303) 628-0871
- Fax
- (303) 628-0873
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 4315 | CO | Primary |
Addresses
Primary practice location
1325 Glenarm PL
Denver, CO 80204-2114
Mailing address
7310 S Alton Way
Ste 6L
Centennial, CO 80112-2334
Phone (303) 790-4495
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 4315 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicor Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Denver, CO
- NPI 1912943564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1598717092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 S ALTON WAY",
"address_2": "STE 6L",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122334",
"telephone_number": "303-790-4495",
"fax_number": "720-488-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 GLENARM PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802042114",
"telephone_number": "303-628-0871",
"fax_number": "303-628-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "ERIKA",
"middle_name": "EDEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PT 4315",
"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 Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.