Active NPI
Jill Buesch, DPT
- Physical Therapist
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3775
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665430 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3775 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidd-Krafft Occupational and Physical Therapy PA | Physical Therapist | Current | Accepting new patients |
| Blue Stone Therapy Inc. | Current | Accepting new patients | |
| Ugoigo, LLC | Physical Therapist | Current | Accepting new patients |
| Cortlyn Therapy, PC | Physical Therapist | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
-
dba Powerback Rehabilitation
- Physical Therapist
- West Des Moines, IA
- NPI 1932774890
-
dba Advantage Physical Therapy and Rehab
- Physical Therapist
- Windsor Heights, IA
- NPI 1851942676
-
dba Symbria Outpatient Services
- Physical Therapist
- Cincinnati, OH
- NPI 1235725730
IA
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.