Individual provider Active NPI

Paul M Jonff, DPT

  • Physical Therapist
  • Rockford, IL
National Provider Identifier
1154779627
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022419 Issued in IL
Practice address
3616 N Main St
Rockford, IL 61103-2159
Phone
(815) 877-5932
Fax
(815) 877-6302
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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 070022419 IL Primary

Addresses

Primary practice location

3616 N Main St
Rockford, IL 61103-2159

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822002973 IL Practitioner - Physical Therapist in Private Practice 6800181447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apg Network, LLCGroup PAC ID 6103264510, 18 clinicians

Practice addresses (Care Compare)

1181 S State Route 157
Edwardsville, IL 62025
Phone (888) 363-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Institute, LLC CurrentSince Dec 1, 2023 Accepting new patients
Interventional Pain Institute, LLC CurrentSince Dec 1, 2023 Accepting new patients
Apg Network LLC CurrentSince Feb 24, 2024 Accepting new patients

Locations

4414 W Center Dr
Alton, IL 62002
Phone (618) 509-8454

1181 S State Route 157
Ste 201B
Edwardsville, IL 62025
Phone (618) 307-9015

1181 S State Route 157
Edwardsville, IL 62025
Phone (618) 288-4100

916 Talon Dr
O Fallon, IL 62269
Phone (618) 628-8211

916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211

Organizations & group practices 3

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1154779627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611032159",
            "telephone_number": "815-877-5932",
            "fax_number": "815-877-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONFF",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.