Jacob R. Wentworth, PT, DPT
NPI 1902451735ActiveIndividual· Physical Therapist· Colorado Springs, CO
Physical Therapist (PT, DPT) with Action Potential Rllp, practicing in Colorado Springs, Colorado. Medicare paid $42,766 for services to 65 patients in 2024.
Overview
| NPI | 1902451735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 8, 2019 |
| Last updated in NPPES | Jun 9, 2021 |
| Certified by provider | Jun 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 17606 | CO |
| Physical Therapist | 225100000X | 1322378 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 2,041 across 10 procedure codes |
| Paid by Medicare | $42,766 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Action Potential RllpColorado Springs, CO · 20 clinicians
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