Individual provider Active NPI

Jan M Mead, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1649311002
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7825 Issued in CO
Practice address
5747 N Academy Blvd
Colorado Springs, CO 80918-3684
Phone
(541) 575-4157
NPI assigned
Feb 9, 2007
Last updated
Jan 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5427 OR
Physical Therapist 225100000X 7825 CO Primary

Addresses

Primary practice location

5747 N Academy Blvd
Colorado Springs, CO 80918-3684

Mailing address

6930 Oak Valley LN
Colorado Springs, CO 80919-1513
Phone (719) 332-4580

Other identifiers 1

IdentifierTypeStateIssuer
80459820MedicaidCO

Other names 1

  • Jan M Reed Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000245 CO Practitioner - Physical Therapist in Private Practice 2860419512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Integrated Health, LLCGroup PAC ID 0244628980, 3 clinicians

Practice addresses (Care Compare)

5747 N Academy Blvd
Colorado Springs, CO 80918-3684
Phone (719) 201-4759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7825COMDGeneral Practice Dentistry
5427ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Integrated Health, LLC Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
Inner Rhythms, LLC Physical Therapist Past Accepting new patients

Locations

5747 N Academy Blvd
Colorado Springs, CO 80918
Phone (719) 201-4759

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1649311002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 OAK VALLEY LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191513",
            "telephone_number": "719-332-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183684",
            "telephone_number": "541-575-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "JAN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5427",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80459820",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "REED",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.