Jeni Ami Chang, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0016398 Issued in CO

Practice address

28577 Buffalo Park Rd Ste 215
Evergreen, CO 80439-7370

Phone

(801) 440-5592

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenny Chang Boyarski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Western Physical Therapy Specialists, LLC

  • Physical Therapist
  • Golden, CO
  • NPI 1891327201
  NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1760041735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E VILLAGE GREEN CIR STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205500",
            "telephone_number": "801-440-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28577 BUFFALO PARK RD STE 215",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397370",
            "telephone_number": "801-440-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JENI",
        "middle_name": "AMI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "BOYARSKI",
            "middle_name": "CHANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
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• Jill Chamberlin, OTR
• Erika Chamblin
• Jamie J Chapin, MSW
• Sandra Chelist, SANDY CHELIST
• Nathan P Cherof, D.M.D.
• Children'S Physiotherapy Alliance
• Christina Boehmer, Speech-Language Pathology LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.