Provider Demographics
NPI:1225392335
Name:PARTON, JESSICA LYNNE (PT, DPT, OCS, MTC)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LYNNE
Last Name:PARTON
Suffix:
Gender:F
Credentials:PT, DPT, OCS, MTC
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:LYNNE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2999 NEW CENTER PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2806
Mailing Address - Country:US
Mailing Address - Phone:484-547-8403
Mailing Address - Fax:
Practice Address - Street 1:2999 NEW CENTER PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2806
Practice Address - Country:US
Practice Address - Phone:719-365-5842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT02139225100000X
CO11645225100000X
VA2305-2070186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist