Jacqueline Marie Pettus, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0014419 Issued in CO

Practice address

5801 S Quebec St Ste 100
Greenwood Village, CO 80111-2010

Phone

(303) 770-0870

NPI assigned

Jun 9, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1770417487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 S VAUGHN WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S QUEBEC ST STE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112010",
            "telephone_number": "303-770-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTUS",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0014419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Peterson, O.D.
• Rylen Peterson
• Stephanie B Peterson, LPC
• Meagan J Petraitis, O.D.
• Cassidy Petri, PA-S
• Christine A Petty, M.D.
• Amanda Phannadeth
• Pharmaca Integrative Pharmacy, Inc.
• Pharmastay PLLC
• Angela A Phelps, RN

• Physical Therapy Assistant in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.