Individual provider Active NPI

Justin Jacapraro, DPT

  • Physical Therapist
  • Evergreen, CO
National Provider Identifier
1902218399
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP043012T Issued in CO
Practice address
30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984
Phone
(303) 674-1594
NPI assigned
May 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043187 NY
Athletic Trainer 2255A2300X 002559 NY
Physical Therapist 225100000X CP043012T CO Primary

Addresses

Primary practice location

30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984

Mailing address

111 Liam CT
Guyton, GA 31312-7109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250331003368 CO Practitioner - Physical Therapist in Private Practice 9537558861 Reassigns benefits to 1 organization
I20251021001641 AZ Practitioner - Physical Therapist in Private Practice 9537558861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, 104 clinicians

Practice addresses (Care Compare)

4889 W Ajo Hwy
Suite 135
Tucson, AZ 85757-9229
Phone (520) 578-6176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043187NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Mar 17, 2025 Accepting new patients
Apex Physical Therapy, LLC CurrentSince Oct 13, 2025 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Mar 17, 2025 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Current Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients

Locations

28620 N El Mirage Rd
Ste B102
Peoria, AZ 85383
Phone (888) 433-7993

1279 W Frontage Rd
Unit H
Rio Rico, AZ 85648
Phone (520) 375-2127

4889 W Ajo Hwy
Ste 135
Tucson, AZ 85757
Phone (520) 578-6176

13370 E Mary Ann Cleveland Way
Ste 130
Vail, AZ 85641
Phone (520) 689-7144

30940 Stagecoach Blvd
#110
Evergreen, CO 80439
Phone (303) 674-1594

8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

Organizations & group practices 6

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1902218399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LIAM CT",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313127109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30940 STAGECOACH BLVD # 110",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397984",
            "telephone_number": "303-674-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACAPRARO",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043187",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002559",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP043012T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.