A fast, free, no-login way to look up any U.S. healthcare provider in the federal NPPES registry.

Lookups

NPI Lookup
NPI Registry
By Specialty
By State

Resources

Guides
For Providers / API
Data Sources
About

Legal

Privacy
Terms
Correct a record

Data is sourced from the public NPPES (National Plan and Provider Enumeration System) registry published by CMS. NPI Central is not affiliated with, or endorsed by, CMSor any healthcare provider. Information is provided “as is” for general reference and is not medical advice.

FCRA notice: NPI Central is not a consumer reporting agency. This information may not be used to determine eligibility for employment, credentialing, insurance, or any other purpose covered by the Fair Credit Reporting Act.

© 2026 NPI Central. All rights reserved.

Home/
NPI Lookup/
CO/
NPI 1831616390

OrganizationActive

Form Medical, PLLC

NPI 1831616390 · Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · Denver, CO

Provider details

NPI number: 1831616390
Entity type: Organization
Primary specialty: Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Jessica Kelner, Physician/Manager(720) 370-9559
License: DR.0058123 (CO)

Specialties & taxonomies

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081N0008XLicense DR.0058123 (CO)
Allopathic & Osteopathic Physicians

Practice location

1525 Raleigh St Ste 220

Denver, CO 80204-1374

Phone: (720) 370-9559

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

1525 Raleigh St Ste 220

Denver, CO 80204-1374

Other names (DBA / former)

Doing business as: Form Medical

Registry dates

Enumerated: 2017-08-25
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Form Medical, PLLC — NPI 1831616390, Denver, CO | NPI Central