Individual provider Active NPI

Jessica Lynn Selock, P.T., D.P.T., N.C.S.

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1609058502
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL0012968 Issued in CO
Practice address
200 Quebec St BLDG 600
Denver, CO 80230-7144
Phone
(303) 341-0369
Fax
(303) 341-0866
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 029150-01 NY
Physical Therapist 225100000X PTL0012968 CO Primary

Addresses

Primary practice location

200 Quebec St BLDG 600
Denver, CO 80230-7144

Mailing address

6685 S Kellerman Way
Aurora, CO 80016-6164
Phone (516) 551-3385

Other practice location 1

2 Keewaydin Dr
Salem, NH 03079-2839
Phone (180) 099-5267

Other practice location 2

1625 Simms St
Lakewood, CO 80215-2611
Phone (516) 551-3385

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325003290 CO Practitioner - Physical Therapist in Private Practice 9335280304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians

Practice addresses (Care Compare)

2440 S Wabash St
Modena Cherry Creek
Denver, CO 80231-3808
Phone (314) 673-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3462NHMDGeneral Practice Dentistry
PTL0012968COMDPhysical Therapist
029150-01NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Colorado, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Current Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Jul 8, 2023 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC CurrentSince Sep 13, 2021 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jul 8, 2023 Accepting new patients
Johnelms LLC Physical Therapist Past Accepting new patients

Locations

5570 Powers Center Pt
Colorado Springs, CO 80920
Phone (719) 266-6022

200 Quebec St
Bldg 600
Denver, CO 80230
Phone (303) 341-0369

200 Quebec St
Ste 215
Denver, CO 80230
Phone (303) 341-0369

3451 S Chambers Rd
Denver, CO 80014
Phone (303) 680-6121

8215 W 108th Ter
Overland Park, KS 66210

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 8

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1609058502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6685 S KELLERMAN WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800166164",
            "telephone_number": "516-551-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEBEC ST BLDG 600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307144",
            "telephone_number": "303-341-0369",
            "fax_number": "303-341-0866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Keewaydin Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030792839",
            "country_code": "US",
            "telephone_number": "180-099-5267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Simms St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802152611",
            "country_code": "US",
            "telephone_number": "516-551-3385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELOCK",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T., N.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029150-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0012968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 16, 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.