Jim Nespor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01685 Issued in IA

Practice address

Athletic Department
132 Rec Ath Fac
Ames, IA 50011-1330

Phone

(515) 294-2626

Fax

(515) 294-2794

NPI assigned

Dec 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265595771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATHLETIC DEPARTMENT",
            "address_2": "132 REC ATH FAC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500111330",
            "telephone_number": "515-294-2626",
            "fax_number": "515-294-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATHLETIC DEPARTMENT",
            "address_2": "132 REC ATH FAC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500111330",
            "telephone_number": "515-294-2626",
            "fax_number": "515-294-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESPOR",
        "first_name": "JIM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239400",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45756",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Ames, IA
• Providers in Ames, IA by specialty
• Physical Therapist in Iowa

• 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.

Verify at the official NPI Registry.