Jeanne Marie Tomcek Groves, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

875-024 Issued in WI

Practice address

907 S Ridge LN
Appleton, WI 54914-4106

Phone

(920) 731-4857

Fax

(920) 739-1565

NPI assigned

Apr 11, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1093988875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S RIDGE LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144106",
            "telephone_number": "920-731-4857",
            "fax_number": "920-739-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S RIDGE LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144106",
            "telephone_number": "920-731-4857",
            "fax_number": "920-739-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCEK GROVES",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "875-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40132600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy L. Galow, D.D.S., S.C.
• TLC Rides LLC
• Cassandra M Toeppler, MSN, APNP
• David A Toivonen, M.D.
• James J Tomassetti, DMD
• John T Topp, D.O.
• Jennifer Lynn Torbenson, RPH
• Jennifer Torborg, DPT
• Iris N Torres, MD
• Barbara Weronika Tota-Boryczka

• Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.