Jennifer Sipula, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018251 Issued in IL

Practice address

211 E Hanover St
New Baden, IL 62265-1811

Phone

(618) 588-4000

Fax

(618) 588-4800

NPI assigned

May 7, 2010

Last updated

May 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Wickam Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Wellness Kansas City, LLCGroup PAC ID 9830504836, 152 clinicians

Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation Illinois, LLC

  • Occupational Therapist
  • Edwardsville, IL
  • NPI 1679098263

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Belleville, IL
  • NPI 1174118103

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Illinois, LLC

  • Rehabilitation Clinic/Center
  • Mount Carmel, IL
  • NPI 1962073734

  Physical Therapist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD
• Madison PT of New Jersey, PC

  • Physical Therapist
  • Westwood, NJ
  • NPI 1740369347
  NPD (past)
• Madison Spine and Physicaltherapy, Inc.

  • Physical Therapist
  • New Milford, NJ
  • NPI 1063591659
  NPD (past)
• Madison Spine Limited Partnership

  • Physical Therapist
  • New Milford, NJ
  • NPI 1689940900
  NPD (past)

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1053639641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E HANOVER ST",
            "city": "NEW BADEN",
            "state": "IL",
            "postal_code": "622651811",
            "telephone_number": "618-588-4000",
            "fax_number": "618-588-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E HANOVER ST",
            "city": "NEW BADEN",
            "state": "IL",
            "postal_code": "622651811",
            "telephone_number": "618-588-4000",
            "fax_number": "618-588-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPULA",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WICKAM",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Farmer MD SC
• Pamela J Rout, DC
• Royal Living Center
• Royal Living Center Inc
• Lynn Kelly Ryder, LCPC
• Southern Illinois Community Support Services
• Southern Illinois Living Centers Inc. (Clinton Manor Living Center)
• Southern Illinois Living Centers Inc. (Clitnon Manor Living Center)
• Jessa Kate Springer
• St Josephs Hospital Breese of the Hospital Sisters of the Third Orde (Clinton County Rural Health New Baden)

• Physical Therapist in New Baden, IL
• Providers in New Baden, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.