KELLIE JAKUBOWICZ
NPI 1225884976
Physical Therapist in Pueblo, CO
About Kellie Jakubowicz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE JAKUBOWICZ (NPI 1225884976) is an individual physical therapist in Pueblo, Colorado, licensed in Colorado (PTL0003527) and active in the NPI registry since April 2024.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellie Jakubowicz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kellie Jakubowicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canon City, CO 81212
- Reassigned Medicare billing, Colorado enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUEBLO, CO 81008
PUEBLO, CO 81008
PUEBLO, CO 81008
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kellie Jakubowicz's NPI number?
The NPI number for Kellie Jakubowicz is 1225884976. It was assigned to this individual provider in the NPPES registry on April 24, 2024. The provider is also known as Kellie Gomas.
Where is Kellie Jakubowicz located?
Kellie Jakubowicz practices at 3676 Parker Blvd, Pueblo, CO 81008. The listed phone number is (719) 553-1804.
What is Kellie Jakubowicz's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kellie Jakubowicz enrolled in Medicare?
Yes. Kellie Jakubowicz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kellie Jakubowicz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Jakubowicz reassigns Medicare benefits to The Hudson Group Inc. (Canon City, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie Jakubowicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kellie Jakubowicz was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.