Active NPI
Jillalice Hoakison, P.T.
- Physical Therapist
- West Des Moines, IA
National Provider Identifier
1265886121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004209
- Practice address
- 5950 University Ave
Suite 285
West Des Moines, IA 50266-8216 - Phone
- (515) 875-9706
- NPI assigned
- Apr 18, 2016
- Last updated
- Apr 18, 2016
- Sex
- Female
- 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 | 004209 | IA | Primary |
Addresses
Primary practice location
5950 University Ave
Suite 285
West Des Moines, IA 50266-8216
Mailing address
6800 Lake Dr
Suite 250
West Des Moines, IA 50266-2500
Phone (515) 875-9925
Other names 1
- Jillalice Kuebler
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 |
|---|---|---|---|
| 004209 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic PC | Past | 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": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1265886121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 LAKE DR",
"address_2": "SUITE 250",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502662500",
"telephone_number": "515-875-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 UNIVERSITY AVE",
"address_2": "SUITE 285",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668216",
"telephone_number": "515-875-9706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOAKISON",
"first_name": "JILLALICE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLALICE",
"last_name": "KUEBLER",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.