Individual provider Active NPI

Jill Buesch, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1144319179
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3775 Issued in IA
Practice address
1555 SE Delaware Ave
Suite M
Ankeny, IA 50021-4011
Phone
(515) 963-8723
Fax
(515) 963-8755
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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 3775 IA Primary

Addresses

Primary practice location

1555 SE Delaware Ave
Suite M
Ankeny, IA 50021-4011

Mailing address

1555 SE Delaware Ave
Suite M
Ankeny, IA 50021-4011
Phone (515) 963-8723

Other identifiers 1

IdentifierTypeStateIssuer
0665430MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000609 IA Practitioner - Physical Therapist in Private Practice 8224184544 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ugoigo LLCGroup PAC ID 4082040373, 3 clinicians
Blue Stone Therapy IncGroup PAC ID 1850707787, 21 clinicians

Practice addresses (Care Compare)

1275 SW State St
Ankeny, IA 50023-2545
Phone (515) 895-4560

2844 104TH St
Urbandale, IA 50322-3813
Phone (515) 276-1111

5555 Pioneer Pkwy
Johnston, IA 50131-1882
Phone (515) 225-4070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3775IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidd-Krafft Occupational and Physical Therapy PA Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Blue Stone Therapy Inc. CurrentSince Jan 5, 2026 Accepting new patients
Ugoigo, LLC Physical Therapist CurrentSince Jan 30, 2026 Accepting new patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients

Locations

1275 SW State St
Ankeny, IA 50023
Phone (515) 895-4560

2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1144319179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SE DELAWARE AVE",
            "address_2": "SUITE M",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214011",
            "telephone_number": "515-963-8723",
            "fax_number": "515-963-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SE DELAWARE AVE",
            "address_2": "SUITE M",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214011",
            "telephone_number": "515-963-8723",
            "fax_number": "515-963-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUESCH",
        "first_name": "JILL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "3775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665430",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.