LUCAS JARDIN GLOMB (DPT, OCS) – Orthopedic Physical Therapist, NPI 1629693494

LUCAS JARDIN GLOMB (DPT, OCS) is a healthcare provider. based in Wheat ridge, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, OCS. They hold a License No. 16969 (CO). The NPI Number for LUCAS JARDIN GLOMB (DPT, OCS) is 1629693494

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
LUCAS JARDIN GLOMB (DPT, OCS)
NPI
1629693494
Phone
(720) 805-2303
Address
3916 WADSWORTH BLVD
Enumeration Date
8 June 2020
Last Update Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207726780
Graduation Year
2020 (6 years ago)
PAC ID
0749602829
Group Practice PAC ID
4284945791
Professional Enrollment ID
I20200618000419
Address ID
CO803011221BO2760XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for LUCAS JARDIN GLOMB (DPT, OCS)

  • 3916 WADSWORTH BLVD

    WHEAT RIDGE, CO 800334615

    Phone: (720) 805-2303

    Fax: (720) 573-6704

    Type: Mailing

  • 19964 Hilltop Rd Ste B

    Parker, CO 801347317

    Phone: (303) 840-4667

    Type: Location

  • 19964 HILLTOP RD STE B

    PARKER, CO 801347317

    Phone: (303) 840-4667

    Type: Mailing

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: 2020-06-18

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
I20200618000419IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17819$0
97140Therapy procedure using manual technique, each 15 minutes13117$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12419$0
97530Therapy procedure using functional activities11920$0
View full utilization report →

Insurance plans in this area (ZIP 80033)

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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: 4284945791View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeCO
-CO

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Frequently asked questions

Does LUCAS JARDIN GLOMB (DPT, OCS) have a public NPI I can cite?
Public records show LUCAS JARDIN GLOMB (DPT, OCS) under NPI 1629693494.
Does the public listing show LUCAS JARDIN GLOMB (DPT, OCS) as active?
LUCAS JARDIN GLOMB (DPT, OCS)'s NPI record reflects an active status in NPPES.
Which specialty label fits LUCAS JARDIN GLOMB (DPT, OCS)?
NPPES ties LUCAS JARDIN GLOMB (DPT, OCS) to Orthopedic Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to LUCAS JARDIN GLOMB (DPT, OCS)?
The directory associates LUCAS JARDIN GLOMB (DPT, OCS) with Wheat Ridge, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains LUCAS JARDIN GLOMB (DPT, OCS)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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