Active NPI
James L January, PT
- Physical Therapist
- Hayward, WI
National Provider Identifier
1265462667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3670
- Practice address
- 15954 Rivers Edge Dr
Hayward, WI 54843-7800 - Phone
- (715) 387-5511
- NPI assigned
- Jul 3, 2006
- Last updated
- Jun 12, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3670 | WI | Primary |
Addresses
Primary practice location
15954 Rivers Edge Dr
Hayward, WI 54843-7800
Mailing address
12271 N Murphy Blvd
Hayward, WI 54843-6005
Phone (715) 462-9914
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1265462667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12271 N MURPHY BLVD",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548436005",
"telephone_number": "715-462-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15954 RIVERS EDGE DR",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548437800",
"telephone_number": "715-387-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANUARY",
"first_name": "JAMES",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.