Jacob Dudek
Individual provider Active NPI Physical Therapist · Vail, CO
NPI 1982537593 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1982537593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 180 S Frontage Rd W
Vail, CO 81657-5038 - Phone
- (970) 476-1225
- NPI assigned
- Jun 4, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CO | Yes |
Addresses
Primary practice location
180 S Frontage Rd W
Vail, CO 81657-5038
Mailing address
175 W Grayling Dr
Fairlawn, OH 44333-2847
Phone (330) 606-5019
Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.