Jessica Wolfe, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP001302T Issued in CO

Practice address

6767 S Spruce St Ste 102
Centennial, CO 80112-1284

Phone

(303) 563-8290

NPI assigned

Mar 4, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Colorado Institute of Developmental Pediatrics

  • Pediatric Physical Therapist
  • Centennial, CO
  • NPI 1386821742
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1962037515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 72ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241918",
            "telephone_number": "505-903-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 S SPRUCE ST STE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121284",
            "telephone_number": "303-563-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1322412",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP001302T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn Wismann-Horther, M.A.
• Nicholas Guy Wismann, LAC, LMP
• Natalie Elaine Wittstruck, MA, MFTC
• Elizabeth Cathleen Wolf, LCSW
• Katherine Keegan Wolf, LCSW
• Rebecca Selene Wolfe, RN, BSN
• Gary G. Wolfson, D.D.S
• Melanie Wolterink, FNP-C
• Faith K Won, DPT
• Alaine Holiday Wonch, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.