Individual provider Active NPI

Jayne Jocelyn Root, DPT

  • Physical Therapist
  • Dexter, MI
National Provider Identifier
1124112735
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011605 Issued in MI
Practice address
2810 Baker Rd
Suite 101
Dexter, MI 48130-1114
Phone
(734) 424-9710
Fax
(734) 424-9711
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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 5501011605 MI Primary

Addresses

Primary practice location

2810 Baker Rd
Suite 101
Dexter, MI 48130-1114

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000669 MI Practitioner - Physical Therapist in Private Practice 8426104332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Rehabilitation Specialists of Fowlerville LLCGroup PAC ID 6204730393, 125 clinicians

Practice addresses (Care Compare)

1201 E M 36 a
Ati Physical Therapy
Pinckney, MI 48169-8311
Phone (734) 648-0138

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501011605MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Aug 1, 2012 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Aug 1, 2012 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4765 Jackson Rd
Ste B
Ann Arbor, MI 48103
Phone (734) 926-4710

121 E Liberty St
Ann Arbor, MI 48104
Phone (734) 794-4619

2625 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 585-3313

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

3500 Washtenaw Ave
Ste B
Ann Arbor, MI 48104
Phone (734) 794-9915

1110 S Main St
Chelsea, MI 48118
Phone (734) 593-3074

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

2810 Baker Rd
#101
Dexter, MI 48130
Phone (734) 424-9710

7057 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 426-1406

9604 Chilson Cmns
Pinckney, MI 48169

1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

1613 S Huron St
Ypsilanti, MI 48197
Phone (734) 483-9200

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1124112735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 BAKER RD",
            "address_2": "SUITE 101",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301114",
            "telephone_number": "734-424-9710",
            "fax_number": "734-424-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "JAYNE",
        "middle_name": "JOCELYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.