Individual provider Active NPI

Jonathan Stephen Foht, PT

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1154979920
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004710 Issued in IA
Practice address
3485 Windsor Ave
Dubuque, IA 52001-1329
Phone
(563) 690-9637
Fax
(563) 231-3285
NPI assigned
Aug 26, 2019
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 004710 IA Primary

Addresses

Primary practice location

3485 Windsor Ave
Dubuque, IA 52001-1329

Mailing address

3485 Windsor Ave
Dubuque, IA 52001-1312
Phone (563) 690-9637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004710IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stonehill Franciscan Services PastSince Aug 1, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1154979920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 WINDSOR AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011312",
            "telephone_number": "563-690-9637",
            "fax_number": "563-231-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 WINDSOR AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011329",
            "telephone_number": "563-690-9637",
            "fax_number": "563-231-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOHT",
        "first_name": "JONATHAN",
        "middle_name": "STEPHEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.