MEDICARE: J MEDICAL INC

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	261QP2000X	Physical Therapy Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	COA109120	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043618010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J MEDICAL INC

Provider Business Mailing Address
First Line	:	12500 E ILIFF AVE STE 320
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1268
Country	:	US
Telephone Number	:	303-862-8853
Fax Number	:	720-379-5827

Provider Business Practice Location Address
First Line	:	12500 E ILIFF AVE STE 320
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1268
Country	:	US
Telephone Number	:	303-862-8853
Fax Number	:	720-379-5827

Authorized Official
Title or Position	:	CEO
Name	:	MARCO MEYER
Credential	:
Telephone Number	:	213-328-3332

Provider Enumeration Date	:	12/08/2014
Last Update Date	:	02/03/2026

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Directions to “J MEDICAL INC ” Practice Location

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