Individual provider Active NPI

Shawna Jamison, PT

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1912968959
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6519 Issued in CO
Practice address
7340 S Alton Way
Ste 11-D
Centennial, CO 80112-2323
Phone
(303) 933-9057
Fax
(303) 933-9108
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6519 CO Primary

Addresses

Primary practice location

7340 S Alton Way
Ste 11-D
Centennial, CO 80112-2323

Mailing address

7340 S Alton Way
Ste 11-D
Centennial, CO 80112-2323
Phone (720) 732-5825

Other identifiers 1

IdentifierTypeStateIssuer
83001336MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6519COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coverly Physical Therapy, Inc. PastSince Aug 10, 2005 Accepting new patients
Sport and Spine Physical Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1912968959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 S ALTON WAY",
            "address_2": "STE 11-D",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122323",
            "telephone_number": "720-732-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 S ALTON WAY",
            "address_2": "STE 11-D",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122323",
            "telephone_number": "303-933-9057",
            "fax_number": "303-933-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "SHAWNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83001336",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.