MEDICARE: JACOB RONALD PEPLINSKI PT, DPT

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	05015750A	IN
2	225100000X	Physical Therapist	5501302406	MI
3	225100000X	Physical Therapist	66069	OR
4	225100000X	Physical Therapist	0021229	CO
5	225100000X	Physical Therapist	61655590	WA

General Provider Information

NPI Number	:	1578277687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB RONALD PEPLINSKI PT, DPT

Provider Business Mailing Address
First Line	:	401 W HAMPDEN PL STE 10
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2471
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 W HAMPDEN PL STE 10
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2471
Country	:	US
Telephone Number	:	303-781-7511
Fax Number	:	303-781-7513

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

Provider Enumeration Date	:	01/12/2023
Last Update Date	:	05/28/2026

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