JACQUELINE NICOLE THIRD (NPI# 1730461831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730461831 |
| Entity Type | Individual |
| Full Name | JACQUELINE NICOLE THIRD |
| Credential | PT, DPT |
| Practice Address |
1700 18th Ave Greeley CO 80631-5134 |
| Practice Telephone | 9703131515 |
| Mailing Telephone | 9703131515 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
11260 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1700 18TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154300853 | Fairacres Manor, Inc | Skilled Nursing Facility | 1700 18th Ave, Greeley, CO 80631-5134 | 2006-01-11 |
| 1528566957 | Jessica Mooney | Occupational Therapy Assistant | 1700 18th Ave, Greeley, CO 80631-5134 | 2018-01-31 |
| 1104276344 | Marissa Korth | Physical Therapist | 1700 18th Ave, Greeley, CO 80631-5134 | 2016-06-19 |
| 1205209764 | Fairacres Manor, Inc | Skilled Nursing Facility | 1700 18th Ave, Greeley, CO 80631-5134 | 2015-11-05 |
| 1992180368 | Dana Skoruppa | Physical Therapy Assistant | 1700 18th Ave, Greeley, CO 80631-5134 | 2015-07-27 |
| 1194110148 | Lisa Hering | Occupational Therapist | 1700 18th Ave, Greeley, CO 80631-5134 | 2015-04-06 |
| 1740678580 | Kamerie Harris | Occupational Therapist | 1700 18th Ave, Greeley, CO 80631-5134 | 2015-01-01 |
| 1316348899 | Laura Anne Curran | Speech-Language Pathologist | 1700 18th Ave, Greeley, CO 80631-5134 | 2014-09-15 |
| 1619395563 | Joseph Steyaert | Community Health Worker | 1700 18th Ave, Greeley, CO 80631-5134 | 2014-03-28 |
| 1538595210 | Kristin Lynnae Sedillo | Physical Therapist | 1700 18th Ave, Greeley, CO 80631-5134 | 2013-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518255975 | Jason Ross Winslow | Physical Therapist | 4617 W 20th St Ste 2a, Greeley, CO 80634-3207 | 2011-07-19 |
| 1174714513 | Marta J. Krause | Physical Therapist | 708 22nd St, Greeley, CO 80631-7041 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159895 | Teri Eldenburg | Physical Therapist | 231 First St, Firestone, CO 80520-1035 | 2017-12-06 |
| 1578094157 | Maryann Bowles | Physical Therapist | 3220 Chandon Ct, Highlands Ranch, CO 80126-8047 | 2017-03-24 |
| 1952854861 | Hope Engel | Physical Therapist | 923 Arapahoe Cir, Louisville, CO 80027-1088 | 2016-07-27 |
| 1346623741 | Julia Cowan | Physical Therapist | 6088 Coors Ct, Arvada, CO 80004-6154 | 2015-07-02 |
| 1790183986 | Lanie Westgard | Physical Therapist | 21479 Grandview Ave, Golden, CO 80401-9421 | 2014-12-20 |
| 1255737441 | Lezah Tabush | Physical Therapist | 1409 Birch St, Montrose, CO 81401-5605 | 2014-11-14 |
| 1609272293 | Julie Anne Sharber | Physical Therapist | 8353 Gray Fox Dr, Evergreen, CO 80439-6259 | 2014-11-10 |
| 1508272014 | Lisa Crowell | Physical Therapist | 10210 Silver Maple Cir, Highlands Ranch, CO 80129-5425 | 2014-07-03 |
| 1487090361 | Cindiman Pinneke | Physical Therapist | 146 Chapman Ln, Durango, CO 81301 | 2013-05-17 |
| 1548606825 | Xiomara I Diaz | Physical Therapist | 709 Keenesburg Ct, Fort Collins, CO 80525-8270 | 2013-05-14 |
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| 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.