Active NPI
Jeanine G Colburn, P.T.
- Pediatric Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1740259787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1184
- Practice address
- 155 Palm Springs Dr
Colorado Springs, CO 80921-2669 - Phone
- (719) 536-0517
- Fax
- (719) 488-0296
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1184 | CO | Primary |
Addresses
Primary practice location
155 Palm Springs Dr
Colorado Springs, CO 80921-2669
Mailing address
155 Palm Springs Dr
Colorado Springs, CO 80921-2669
Phone (719) 536-0278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35476559 | Medicaid | CO |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1184 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Connection, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Colorado Springs, CO
- NPI 1194794016
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740259787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 PALM SPRINGS DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212669",
"telephone_number": "719-536-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 PALM SPRINGS DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212669",
"telephone_number": "719-536-0517",
"fax_number": "719-488-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBURN",
"first_name": "JEANINE",
"middle_name": "G",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CO",
"license": "1184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35476559",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.