Active NPI
Jennifer Rasor, PT, DPT
- Physical Therapist
- Conifer, CO
National Provider Identifier
1669821153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0013930
- Practice address
- 26367 Conifer Rd
Conifer, CO 80433-9140 - Phone
- (303) 838-3900
- NPI assigned
- Jun 6, 2016
- 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 | 0013930 | CO | Primary |
Addresses
Primary practice location
26367 Conifer Rd
Conifer, CO 80433-9140
Mailing address
28408 Evergreen Dr
Conifer, CO 80433-8600
Phone (715) 347-6629
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 |
|---|---|---|---|
| 0013930 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1669821153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28408 EVERGREEN DR",
"city": "CONIFER",
"state": "CO",
"postal_code": "804338600",
"telephone_number": "715-347-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26367 CONIFER RD",
"city": "CONIFER",
"state": "CO",
"postal_code": "804339140",
"telephone_number": "303-838-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASOR",
"first_name": "JENNIFER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0013930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.