MEDICARE: JORMAN VASQUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1407549	TX
2	225100000X	Physical Therapist	PTL.0021138	CO

General Provider Information

NPI Number	:	1730042607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORMAN VASQUEZ

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:	866-307-8206
Fax Number	:

Provider Business Practice Location Address
First Line	:	8601 TURNPIKE DR STE 204
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-7044
Country	:	US
Telephone Number	:	303-222-4312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2025
Last Update Date	:	05/27/2026

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Directions to “ JORMAN VASQUEZ ” Practice Location

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