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

Jacqueline Diane Fermin, DPT

Individual provider Physical Therapist · NPI 1417689803

Jacqueline Diane Fermin, DPT is a Physical Therapist in Private Practice in Denver, Colorado. Qualified in 2022, 4 years ago. Practices with Blue Sky Physical Therapy, PC, a 10-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

155 S Madison St Ste 303
Denver, CO 80209-3014
Phone: (303) 388-1587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL.0018482 (CO)

Record details

NPI number1417689803
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 26, 2022
Last updated in NPPESSeptember 7, 2025
Certification dateSeptember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Blue Sky Physical Therapy, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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