ELLEN JACKSON (NPI# 1164993168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164993168 |
| Entity Type | Individual |
| Full Name | ELLEN JACKSON |
| Credential | DPT |
| Practice Address |
4083 Austin Bluffs Pkwy Ste 101a Colorado Springs CO 80918-5928 |
| Mailing Address |
7622 Mclaughlin Rd Peyton CO 80831-4710 |
| Practice Telephone | 7195330021 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PTL.0015193 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | PTL.0015193 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730353400 | Ellen Kimberly Jackson | Non-emergency Medical Transport (VAN) | 14122 S Wabash Ave, Riverdale, IL 60827-2236 | 2008-04-14 |
| 1710013099 | Ellen Gilbert Jackson | Pharmacist | 324 Patton Street, Medithrift Pharmacy, La Fayette, GA 30728 | 2007-02-23 |
| 1740280700 | Ellen S Jackson | Chiropractor | 7870 W Ridge Rd, Suite 3, Fairview, PA 16415-1808 | 2005-07-29 |
| 1235743907 | Ellen Jackson | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-09-01 |
| 1568519718 | Ellen Marie Jackson | Social Worker | 3 Fundy Rd, Falmouth, ME 04105-1796 | 2007-01-03 |
| Street Address |
4083 AUSTIN BLUFFS PKWY STE 101A |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679092092 | Kevin Davis | Physical Therapist | 4083 Austin Bluffs Pkwy Ste 101a, Colorado Springs, CO 80918-5928 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1972023604 | David Ernesto Canales | Physical Therapist | 2438 Research Pkwy Ste 235, Colorado Springs, CO 80920-1094 | 2017-06-23 |
| 1851707905 | Heather Boehlke | Physical Therapist | 3356 Templeton Gap Rd, Colorado Springs, CO 80907-5738 | 2014-07-09 |
| 1902194921 | Eric Vande Griend | Physical Therapist | 3030 N Circle Dr Ste 215, Colorado Springs, CO 80909-1180 | 2011-07-11 |
| 1114158946 | Physioworks Physical Therapy | Physical Therapist | 1831 Austin Bluffs Pkwy Ste 100, Colorado Springs, CO 80918-7847 | 2009-07-28 |
| 1073724001 | Christopher J. Kaster | Physical Therapist | 5265 N Academy Blvd Ste 1500, Colorado Springs, CO 80918-4067 | 2007-05-24 |
| 1790821403 | Holtby & Bonack Ptr | Physical Therapist | 1825 Austin Bluffs Pkwy Ste 100, Colorado Springs, CO 80918-7861 | 2007-01-29 |
| 1669578787 | Brian Anthony Surage | Physical Therapist | 2228 N Wahsatch Ave, Colorado Springs, CO 80907-6940 | 2006-09-16 |
| 1053361030 | Ryan Thomas Girrbach | Physical Therapist | 8540 Scarborough Dr Ste 200, Colorado Springs, CO 80920-7513 | 2006-05-11 |
| 1033167655 | Michael W Applebee | Physical Therapist | 595 Chapel Hills Dr Ste 145, Colorado Springs, CO 80920-1024 | 2006-05-05 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
Please comment or provide details below to improve the information on ELLEN JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.