Michelle Ladeburg-Jeanes, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02403 Issued in IA

Practice address

111 E Mission St
Strawberry Point, IA 52076-0000

Phone

(563) 933-6277

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Missy Jeanes Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware County Memorial HospitalGroup PAC ID 2062316375, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment Care Compare group NPD
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD
• Delaware County Memorial Hospital

  dba Regional Family Health Dyersville

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD
• Delaware County Memorial Hospital

  dba Regional Family Health-Strawberry Point

  • Family Medicine Physician
  • Strawberry Point, IA
  • NPI 1811039886
  NPD (past)
• Town of Strawberry Point

  dba Strawberry Point Ambulance Service

  • Land Ambulance
  • Strawberry Point, IA
  • NPI 1528124831
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1194078873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "address_2": "PO BOX 359",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MISSION ST",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "520760000",
            "telephone_number": "563-933-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADEBURG-JEANES",
        "first_name": "MICHELLE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISSY",
            "last_name": "JEANES",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Delaware County Memorial Hospital (Regional Family Health-Strawberry Point)
• Evans Chiropractic PLLC
• Rhys Evans, D.C.
• Roland S Evans Jr., D.C.
• Angela Kaye Henry, PT
• MCLD Corporation (Strawberry Point Drug)
• Northeast Iowa Christian Retirement Community
• Linda Marie Pugliese, ARNP
• St Croix Hospice LLC (St. Croix Hospice)
• Town of Strawberry Point (Strawberry Point Ambulance Service)

• Physical Therapist in Strawberry Point, IA
• Providers in Strawberry Point, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.