Individual provider Active NPI

Jacob Anthony Kaufman

  • Physical Therapist
  • Marion, IA
National Provider Identifier
1093468647
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1260 35TH St Ste 2
Marion, IA 52302-1712
Phone
(319) 373-4422
Fax
(319) 373-4432
NPI assigned
Feb 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1260 35TH St Ste 2
Marion, IA 52302-1712

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228000964 IA Practitioner - Physical Therapist in Private Practice 0446644967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic of Iowa PCGroup PAC ID 2163325242, 132 clinicians

Practice addresses (Care Compare)

1260 35TH St
Marion, IA 52302-1712
Phone (319) 373-4422

Merit-based Incentive Payment System (MIPS)

Final score
83.5 of 100Reported as group
Quality
68.67
Promoting interoperability
100
Improvement activities
40
Cost
76.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' Clinic of Iowa, PC CurrentSince Feb 25, 2022 Accepting new patients
Physicians Clinic of Iowa, PC CurrentSince Feb 25, 2022 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Feb 25, 2022 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Feb 25, 2022 Accepting new patients

Locations

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

3385 Dexter Ct
Ste 203
Davenport, IA 52807
Phone (563) 332-9312

1260 35th St
Marion, IA 52302
Phone (319) 373-4422

1260 35th St
Ste 2
Marion, IA 52302
Phone (319) 373-4422

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1093468647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 35TH ST STE 2",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523021712",
            "telephone_number": "319-373-4422",
            "fax_number": "319-373-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JACOB",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.