| Nica Gabrielle Jacobson, PT, DPT | |
|
180 S Frontage Rd W, Vail, CO 81657-5038 | |
| (970) 476-1225 | |
| Not Available |
| Full Name | Nica Gabrielle Jacobson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 180 S Frontage Rd W, Vail, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750096319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Provider Name | Colorado Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891461125 PECOS PAC ID: 7517363617 Enrollment ID: O20210914002694 |
| Mailing Address | Practice Location Address |
|---|---|
| Nica Gabrielle Jacobson, PT, DPT Po Box 1608, Avon, CO 81620-1608 Ph: () - | Nica Gabrielle Jacobson, PT, DPT 180 S Frontage Rd W, Vail, CO 81657-5038 Ph: (970) 476-1225 |
Elysse Celeste Schmidt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 970-476-1225 | |
Jennifer A Martin, DPT, OCS, FAAOMPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1295 Westhaven Dr, Vail, CO 81657 Phone: 970-476-7510 | |
Katherine Medin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 970-479-5157 | |
Mr. Ronnie Dean Hald, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 970-476-2451 | |
Haley Leo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 970-476-2451 | |
Jill Walker Sorensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 970-479-7275 | |
Miss Helen Clare Bradley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 W Meadow Dr, Vail, CO 81657 Phone: 970-479-7275 |