Individual provider Active NPI

Jennifer Zuzack, DPT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1750666368
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11434 Issued in CO
Practice address
3451 S Chambers Rd
Aurora, CO 80014-5073
Phone
(303) 680-6121
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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 11434 CO Primary

Addresses

Primary practice location

3451 S Chambers Rd
Aurora, CO 80014-5073

Mailing address

3451 S Chambers Rd
Aurora, CO 80014-5073
Phone (303) 680-6121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000615 CO Practitioner - Physical Therapist in Private Practice 8628242211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3451 S Chambers Rd
Aurora, CO 80014-5073
Phone (303) 680-6121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11434COMDMental Health Counselor
PTL.0011434COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Dec 1, 2019 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC CurrentSince Dec 1, 2019 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist Past Accepting new patients

Locations

5570 Powers Center Pt
Colorado Springs, CO 80920
Phone (719) 266-6022

200 Quebec St
Bldg 600
Denver, CO 80230
Phone (303) 341-0369

3451 S Chambers Rd
Denver, CO 80014
Phone (303) 680-6121

Organizations & group practices 3

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": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1750666368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145073",
            "telephone_number": "303-680-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145073",
            "telephone_number": "303-680-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUZACK",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.