Active NPI
James A Miedaner
- Pediatric Physical Therapist
- Madison, WI
National Provider Identifier
1245318286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1575-24
- Practice address
- 600 Highland Ave
Compliance Mail Code 2433
Madison, WI 53792-0001 - Phone
- (608) 662-0817
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1575-24 | WI | Primary |
Addresses
Primary practice location
600 Highland Ave
Compliance Mail Code 2433
Madison, WI 53792-0001
Mailing address
600 Highland Ave
Compliance Mail Code 2433
Madison, WI 53792-0001
Phone (608) 662-0817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1575-24 | Other | WI | PHYSICAL THERAPY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1575-24 | WI | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245318286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "COMPLIANCE MAIL CODE 2433",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-662-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"address_2": "COMPLIANCE MAIL CODE 2433",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-662-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIEDANER",
"first_name": "JAMES",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WI",
"license": "1575-24",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "1575-24",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
- Midwest Audiology & Hearing Center Madison, LLC
- Midwest Center for Human Services LLP
- Midwest Jaw Relief SC
- Midwest Plastic and Reconstructive Surgery, Inc.
- Midwestern Center for Plastic Surgery
- Elizabeth J Mierendorf, C.A., MAOM, ATC
- Ashton Hope Mieritz, CRNA
- Cynthia A Mierow-Spetz, OTR, CHT
- Heidi Miess-Gladding, NNP-BC
- Jonathan James Mietchen, T-LMLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.