Active NPI
Jaclyn Danielle Stoerzbach
- Physical Therapist
- Westminster, CO
National Provider Identifier
1922470830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2013028739
- Practice address
- 10485 Sheridan Blvd
Westminster, CO 80020-4101 - Phone
- (303) 469-1190
- Fax
- (303) 469-4130
- NPI assigned
- Oct 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2013028739 | MO | Primary |
Addresses
Primary practice location
10485 Sheridan Blvd
Westminster, CO 80020-4101
Mailing address
10485 Sheridan Blvd
Westminster, CO 80020-4101
Phone (303) 469-1190
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013028739 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1922470830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10485 SHERIDAN BLVD",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800204101",
"telephone_number": "303-469-1190",
"fax_number": "303-469-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10485 SHERIDAN BLVD",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800204101",
"telephone_number": "303-469-1190",
"fax_number": "303-469-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOERZBACH",
"first_name": "JACLYN",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-30",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2013028739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.