Individual provider Active NPI

Jaclyn Piccone, PT, DPT

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1689120073
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0014171 Issued in CO
Practice address
2801 Youngfield St Ste 170
Golden, CO 80401-0210
Phone
(720) 845-1976
Fax
(303) 409-2233
NPI assigned
Aug 26, 2016
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0014171 CO Primary

Addresses

Primary practice location

2801 Youngfield St Ste 170
Golden, CO 80401-0210

Mailing address

2801 Youngfield St Ste 170
Golden, CO 80401-0210
Phone (720) 845-1976

Other identifiers 1

IdentifierTypeStateIssuer
PTL0014171OtherCOPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927000238 CO Practitioner - Physical Therapist in Private Practice 8628365152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Physical Therapy Prof LLCGroup PAC ID 3779470760, 21 clinicians

Practice addresses (Care Compare)

6350 Eldridge St
Fit Physical Therapy
Arvada, CO 80004-3616
Phone (303) 409-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0014171COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy Physical Therapist CurrentSince Aug 30, 2016 Accepting new patients
Fit Physical Therapy Prof LLC CurrentSince Aug 30, 2016 Accepting new patients

Locations

6350 Eldridge St
Arvada, CO 80004
Phone (303) 409-2133

2801 Youngfield St
Ste 170
Golden, CO 80401
Phone (303) 409-2133

6612 S Ward St
Littleton, CO 80127
Phone (303) 409-2133

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": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1689120073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 170",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010210",
            "telephone_number": "720-845-1976",
            "fax_number": "303-409-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 170",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010210",
            "telephone_number": "720-845-1976",
            "fax_number": "303-409-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCONE",
        "first_name": "JACLYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PTL0014171",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.