Individual provider Active NPI

Jordan Kasper, DPT

  • Physical Therapist
  • Oshkosh, WI
National Provider Identifier
1285326454
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16330-24 Issued in WI
Practice address
200 S Oakwood Rd
Oshkosh, WI 54904-7900
Phone
(920) 305-7910
Fax
(920) 305-7910
NPI assigned
May 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16330-24 WI Primary

Addresses

Primary practice location

200 S Oakwood Rd
Oshkosh, WI 54904-7900

Mailing address

2105 E Enterprise Ave Ste 113
Appleton, WI 54913-7862
Phone (920) 991-2561

Other practice location 1

3303 W 20th Ave
Oshkosh, WI 54904-9249
Phone (920) 305-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824000518 WI Practitioner - Physical Therapist in Private Practice 1658734694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy and Sports Medicine SCGroup PAC ID 2365432903, 62 clinicians
Fox Valley Physical Therapy and Wellness Clinic IncGroup PAC ID 9638155732, 3 clinicians

Practice addresses (Care Compare)

200 S Oakwood Rd
Oshkosh, WI 54904-7900
Phone (920) 305-7910

909 S Washburn St
Oshkosh, WI 54904-8051
Phone (920) 235-8966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16330-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Physical Therapy & Wellness Clinic, Inc. Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients

Locations

909 S Washburn St
Oshkosh, WI 54904
Phone (920) 235-8966

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1285326454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE STE 113",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-991-2561",
            "fax_number": "920-991-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S OAKWOOD RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047900",
            "telephone_number": "920-305-7910",
            "fax_number": "920-305-7910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 W 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549049249",
            "country_code": "US",
            "telephone_number": "920-305-7910",
            "fax_number": "920-305-7910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASPER",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16330-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.