Jacob R Wentworth, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17606 Issued in CO

Practice address

1230 Tenderfoot Hill Rd
Colorado Springs, CO 80906-7346

Phone

(719) 527-3383

NPI assigned

Aug 8, 2019

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential RLLPGroup PAC ID 7719976703, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.68 of 100Reported as group

Quality

96.09

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1699939850
  Medicare reassignment Care Compare group NPD
• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  Medicare reassignment NPD
• Action Potential RLLP

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1265274948

  Physical Therapist

  NPD
• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1528005220
  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD
• Panorama Orthopedics & Spine Center, PC

  • Clinic/Center
  • Greenwood Village, CO
  • NPI 1467076117
  NPD
• Panorama Orthopedics & Spine Center, PC

  dba Orthopedic Rehabilitation Associates

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1629690722
  NPD
• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1013961770
  NPD (past)
• Action Potential RLLP

  dba Advanced Hand and Orthopedic Rehabilitation

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1093736316
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1902451735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 TENDERFOOT HILL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067346",
            "telephone_number": "719-527-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 TENDERFOOT HILL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067346",
            "telephone_number": "719-527-3383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 W Sunset Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782091769",
            "country_code": "US",
            "telephone_number": "210-828-7557 x21082",
            "fax_number": "210-828-7756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "JACOB",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1322378",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Wendt
• Rebecca Alene Wendt, M.D.
• Molly Wendte, AGACNP-BC
• Lois Wenger, MSN, ANP
• Richard P Wenham, MD
• Paulett R Wentworth, CERTIFIED FITTER
• Jordan Wenzel
• Jennifer Lynn Wenzell, D.O.
• Michael Wereski
• Patrice Werling

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.