Organization Active NPI

Jason E. Meyer Physical Therapy Doing Bussiness As Dubuque Physical TH

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1043610637
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12851-24 Issued in WI
Legal business name
JASON E. MEYER PHYSICAL THERAPY DOING BUSSINESS AS DUBUQUE PHYSICAL TH
Practice address
4005 Westmark Dr
Suite 320
Dubuque, IA 52002-2271
Phone
(563) 588-3891
Fax
(563) 588-3893
NPI assigned
Sep 2, 2014
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Juvy Shoopman
Title
Billing
Phone
(563) 588-3891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12851-24 WI Primary

Addresses

Primary practice location

4005 Westmark Dr
Suite 320
Dubuque, IA 52002-2271

Mailing address

4005 Westmark Dr
Suite 320
Dubuque, IA 52002-2271
Phone (563) 588-3891

National Provider Directory

National Provider Directory

Locations

4005 Westmark Dr
Ste 320
Dubuque, IA 52002
Phone (563) 583-6977

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1043610637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR",
            "address_2": "SUITE 320",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR",
            "address_2": "SUITE 320",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON E. MEYER PHYSICAL THERAPY DOING BUSSINESS AS DUBUQUE PHYSICAL TH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SHOOPMAN",
        "authorized_official_first_name": "JUVY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "563-588-3891",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12851-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.