Lara Ann Jerzycki, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10059 Issued in CO

Practice address

3919 Tennyson St
Denver, CO 80212-2113

Phone

(303) 477-5303

NPI assigned

Oct 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Feldhake Physical Therapy LTDGroup PAC ID 0648238410, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Feldhake Physical Therapy, LTD.

  • Orthopedic Physical Therapist
  • Denver, CO
  • NPI 1124103155

  CO

  Medicare reassignment Care Compare group NPD
• Atlas Physical Therapy at Stapleton, PLLC

  • Physical Therapy Clinic/Center
  • Denver, CO
  • NPI 1124769179

  Physical Therapist

  NPD

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1992058176",
    "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": "303-477-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 TENNYSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122113",
            "telephone_number": "303-477-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERZYCKI",
        "first_name": "LARA",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry K Popham, MD PC
• Jerusalem Assisted Living Facility
• Jerusalem Assisted Living Facility
• Anna Marie Jervis, MSW
• Jerzy Srebniak
• Kari Lynn Jeske, D.C.
• Jess Kahnke LLC
• Jess Truitt Counseling LLC
• Allison Jessani, LPC
• Jubetsy R. Jessar

• All providers in Denver, CO
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.