Individual provider Active NPI

Jill Fortney, MSPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1962568170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7635 Issued in CO
Practice address
3865 Cherry Creek North Dr
LL70
Denver, CO 80209-3803
Phone
(303) 094-3356
Fax
(303) 394-3359
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7635 CO Primary

Addresses

Primary practice location

3865 Cherry Creek North Dr
LL70
Denver, CO 80209-3803

Mailing address

3865 Cherry Creek North Dr
LL70
Denver, CO 80209-3803
Phone (303) 094-3356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000706 CO Practitioner - Physical Therapist in Private Practice 2163699307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Motion Physical Therapy LLCGroup PAC ID 7214918788, 4 clinicians

Practice addresses (Care Compare)

1325 S Colorado Blvd
BLDG B Suite 206
Denver, CO 80222-3311
Phone (303) 394-3356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7635COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy Limited Partnership Physical Therapist PastSince Dec 1, 2016 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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962568170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 CHERRY CREEK NORTH DR",
            "address_2": "LL70",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093803",
            "telephone_number": "303-094-3356",
            "fax_number": "303-394-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CHERRY CREEK NORTH DR",
            "address_2": "LL70",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093803",
            "telephone_number": "303-094-3356",
            "fax_number": "303-394-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNEY",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.