JAKE ARSENULT (DPT) – Orthopedic Physical Therapist, NPI 1104595305

JAKE ARSENULT (DPT) is a healthcare provider. based in Lakewood, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for JAKE ARSENULT (DPT) is 1104595305

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JAKE ARSENULT (DPT)
NPI
1104595305
Phone
(703) 463-6099
Address
6662 W HAMILTON DR
Enumeration Date
10 September 2021
Last Update Date
15 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708798026
Graduation Year
2021 (5 years ago)
PAC ID
2961875026
Group Practice PAC ID
8123461225
Professional Enrollment ID
I20230310001752
Address ID
CO804879099ST1585XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

2,986 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for JAKE ARSENULT (DPT)

  • 6662 W HAMILTON DR

    LAKEWOOD, CO 802275337

    Phone: (703) 463-6099

    Type: Mailing

  • 15235 E 38TH AVE

    AURORA, CO 800111239

    Phone: (303) 340-3053

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230310001752IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80227)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123461225View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeUT

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Frequently asked questions

What federal number belongs to JAKE ARSENULT (DPT)?
The federal identifier for JAKE ARSENULT (DPT) is NPI 1104595305.
Is JAKE ARSENULT (DPT) active in the national directory?
JAKE ARSENULT (DPT)'s public NPI profile is in an active state.
Can you summarize JAKE ARSENULT (DPT)'s specialty in plain language?
Clinically, the directory lists JAKE ARSENULT (DPT) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is JAKE ARSENULT (DPT)'s primary listing?
We display Lakewood, Colorado because that is what the record indicates for JAKE ARSENULT (DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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