Jennifer Churchill, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0014515 Issued in CO

Practice address

2935 Baseline Rd
Ste 301
Boulder, CO 80303-2366

Phone

(303) 941-1768

NPI assigned

Nov 30, 2010

Last updated

Feb 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Denver Sport and Spine Inc

  • Sports Physician Chiropractor
  • Denver, CO
  • NPI 1124371570
  NPD (past)
• Rausch Physical Therapy, Inc.

  dba Rausch Orthopedic Rehabilitation & Physical Therapy

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1538110861

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1669774493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 EISENHOWER DR",
            "address_2": "APT #103",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038124",
            "telephone_number": "760-420-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD",
            "address_2": "STE 301",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032366",
            "telephone_number": "303-941-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37320",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60535854",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrysalis Counseling (Center for Change)
• Richard Chubbs, PTA
• Michelle Chun
• Dyeus M Chung, D.D.S., M.S.
• Scott Kenneth Church, LPC
• Jessica Churnside, MED, LPC
• Linda Ann Ciampoli, LMT
• Julie Marie Ciecior
• Angelo Anthony Ciliberti II, MA, LPC, CGP
• Ashley M Ciraco

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.