Jennifer T Desbois, PT
Individual provider Active NPI Physical Therapist · Lonetree, CO
NPI 1811221062 · NPPES record last updated Sep 21, 2009
Key facts
- NPI
- 1811221062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10554 (CO)
- Practice address
- 9995 Park Meadows Dr
Lonetree, CO 80124-5341 - Phone
- (303) 792-2334
- NPI assigned
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10554 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Spine & Sport, LLC | Physical Therapist | Past | Accepting new patients |
| Rocky Mountain Spine & Sport, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10554 | CO | Yes |
Addresses
Primary practice location
9995 Park Meadows Dr
Lonetree, CO 80124-5341
Mailing address
19131 E Cottonwood Dr
1332
Parker, CO 80138-8669
Phone (303) 704-7468
Other providers in Lonetree, CO
- Colorado Acupuncture Studio
- Community Hospital
- Silvia G Connell
- Decatur Vein Clinic Colorado, PC
- Denver Spine Center
- Amy M Diruzzo
- Brenda C Eiser
- Rachael Falkowitz
- Kelly Renee Freeman
- Jennifer Freezer
All providers in Lonetree, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.