Individual provider Active NPI

Jacob Dulski, DPT

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1760973754
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.16507 Issued in CO
Practice address
112 N Rubey Dr
Golden, CO 80403-3210
Phone
(716) 467-7938
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305211930 VA
Physical Therapist 225100000X PTL.16507 CO Primary

Addresses

Primary practice location

112 N Rubey Dr
Golden, CO 80403-3210

Mailing address

112 N Rubey Dr
Golden, CO 80403-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191021002011 CO Practitioner - Physical Therapist in Private Practice 9739411943 Reassigns benefits to 1 organization
I20220708003622 CA Practitioner - Physical Therapist in Private Practice 9739411943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.16507COMDPhysical Therapist
2305211930VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy Inc. Physical Therapist CurrentSince Sep 16, 2019 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Jun 27, 2022 Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients
Physiomotion Physical Therapy, Inc. Physical Therapist PastSince Aug 8, 2016 Accepting new patients

Locations

2222 Francisco Dr
Ste 120
El Dorado Hills, CA 95762
Phone (916) 235-4071

4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

1586 Constitution Blvd
Salinas, CA 93905
Phone (831) 276-0565

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

1015 N Weber St
Colorado Springs, CO 80903
Phone (719) 635-6800

2020 W Colorado Ave
Ste 305
Colorado Springs, CO 80904
Phone (719) 249-1600

Organizations & group practices 4

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1760973754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N RUBEY DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804033210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N RUBEY DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804033210",
            "telephone_number": "716-467-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULSKI",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211930",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.16507",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.