Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob A Chavez, PTA

Individual provider Physical Therapy Assistant · NPI 1093538134

Jacob A Chavez, PTA is a Physical Therapy Assistant in Fountain, Colorado. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

901 N Santa Fe Ave
Fountain, CO 80817-1738
Phone: (719) 822-0550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA.0015038 (CO)

Record details

NPI number1093538134
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address1025 Jackson St, Pueblo, CO 81004-2471

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