Individual provider Active NPI

Jenna Leigh Ridder, PT, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1760047385
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0012786 Issued in CO
Practice address
7606 N Union Blvd Ste F
Colorado Springs, CO 80920-3873
Phone
(719) 667-0666
Fax
(719) 594-5658
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 PTL.0012786 CO Primary

Addresses

Primary practice location

7606 N Union Blvd Ste F
Colorado Springs, CO 80920-3873

Mailing address

7606 N Union Blvd Ste F
Colorado Springs, CO 80920-3873
Phone (719) 667-0666

Other names 1

  • Jenna Leigh Huffard Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002097 CO Practitioner - Physical Therapist in Private Practice 3072846286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Point Vestibular Rehabilitation LLCGroup PAC ID 0345216487, 5 clinicians

Practice addresses (Care Compare)

7606 N Union Blvd
Suite 140
Colorado Springs, CO 80920-3850
Phone (719) 667-0666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Point Vestibular Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients

Locations

7606 N Union Blvd
Ste 140
Colorado Springs, CO 80920
Phone (719) 667-0666

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.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1760047385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 N UNION BLVD STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203873",
            "telephone_number": "719-667-0666",
            "fax_number": "719-594-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 N UNION BLVD STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203873",
            "telephone_number": "719-667-0666",
            "fax_number": "719-594-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HUFFARD",
            "middle_name": "LEIGH",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 8, 2019; 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.