Jennifer V Gotantas (NPI# 1336428044, PAC ID# 0042206484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1336428044 |
PAC ID by PECOS | 0042206484 |
Professional Enrollment ID | I20040422000013 |
Full Name | Jennifer V Gotantas |
Organization Legal Name | AXIS SPORTS MEDICINE LLC |
Address |
710 N Summit Blvd Suite 103 Frisco CO 80443 |
Phone Number | 9703686908 |
Gender | F |
Credential | PT |
Graduation Year | 1991 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 7214188895 |
Number of Group Practice Members | 20 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
710 N Summit Blvd, Suite 103, Frisco, CO 80443 | 9703686908 | AXIS SPORTS MEDICINE LLC |
1281 Blue River Pkwy, Unit A, Silverthorne, CO 80498 | 9703686054 | AXIS SPORTS MEDICINE LLC |
Organization Legal Name | AXIS SPORTS MEDICINE LLC |
Physicians | 24 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brady D Baker | Physical Therapy | Axis Sports Medicine LLC | 1143 Capitol St, Unit 102b, Eagle, CO 81631-5000 |
Barbara D Thomas | Physical Therapy | Axis Sports Medicine LLC | 122 S Main St, Suite D, Breckenridge, CO 80424 |
Shannon M Irish | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
Connor Roman Longacre | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
Kimberly Eytel | Physical Therapy | Axis Sports Medicine LLC | 122 S Main St, Suite D, Breckenridge, CO 80424 |
Sean P Juarez | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
Gentian Nuzzo | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
Ami K Doyle | Physical Therapy | Axis Sports Medicine LLC | 710 N Summit Blvd, Suite 103, Frisco, CO 80443 |
Meredith H Mueller | Physical Therapy | Axis Sports Medicine LLC | 142 Beaver Creek Place, Unit 109, Avon, CO 81620 |
Jennifer Rose Hutchings | Physical Therapy | Axis Sports Medicine LLC | 710 N Summit Blvd, Suite 103, Frisco, CO 80443 |
Street Address |
710 N SUMMIT BLVD SUITE 103 |
City | FRISCO |
State | CO |
Zip | 80443 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ami K Doyle | Physical Therapy | Axis Sports Medicine LLC | 710 N Summit Blvd, Suite 103, Frisco, CO 80443 |
Jennifer Rose Hutchings | Physical Therapy | Axis Sports Medicine LLC | 710 N Summit Blvd, Suite 103, Frisco, CO 80443 |
Terri L Stashick | Physical Therapy | Axis Sports Medicine LLC | 710 N Summit Blvd, Suite 103, Frisco, CO 80443 |
Erin K Jones | Physical Therapy | Axis Sports Medicine LLC | 710 N Summit Blvd, Suite 103, Frisco, CO 80443 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly Ballou | Physician Assistant | Destination Dermatology LLC | 60 Main St H, Renew Dermatology, Frisco, CO 80443 |
Paul H Cook Jr. | Optometry | 620 Main St B, Frisco, CO 80443 | |
Jonathan Adam Sherman | Cardiovascular Disease (cardiology) | Vvmc Diversified Services | 323 W Main St, Suite 101, Frisco, CO 80443 |
Sally K Agnoletto | Certified Registered Nurse Anesthetist (crna) | 842 Summit Blvd, Suite 15, Frisco, CO 80443 | |
Amy L. Robillard | Nurse Practitioner | Summit Community Care Clinic, Inc. | 360 Peak One Dr, Suite 100, Frisco, CO 80443 |
Chad Alan Ford | Physician Assistant | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
Annie Bowen | Physician Assistant | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
Scott E Raub | Physical Medicine and Rehabilitation | Vail Summit Orthopaedics | 360 Peak One Dr, Suite 180, Frisco, CO 80443 |
Eleanor Lacy Bruin | Clinical Social Worker | Catholic Health Initiatives Colorado | 360 Peak One Dr, 300 Centura Health Physician Group High Country Health, Frisco, CO 80443 |
Colleen D. Ihnken | Nurse Practitioner | Summit Community Care Clinic, Inc. | 360 Peak One Dr, Suite 100, Frisco, CO 80443 |
Find all physicians in zip 80443 |
City | FRISCO |
Zip Code | 80443 |
Specialty | PHYSICAL THERAPY |
City + Specialty | FRISCO + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.