Healthcare Provider Details

I. General information

NPI: 1710642806
Provider Name (Legal Business Name): J MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7124 FEDERAL BLVD STE 800
WESTMINSTER CO
80030-5520
US

IV. Provider business mailing address

12500 E ILIFF AVE STE 320
AURORA CO
80014-1268
US

V. Phone/Fax

Practice location:
  • Phone: 720-502-3670
  • Fax: 720-398-8675
Mailing address:
  • Phone: 303-862-8853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARCO MEYER
Title or Position: CEO
Credential:
Phone: 213-328-3332