Diane D Jasperson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2488-024 Issued in WI

Practice address

2231 US Highway 12
Suite 201
Baldwin, WI 54002-3269

Phone

(715) 684-5020

NPI assigned

Dec 20, 2011

Last updated

Dec 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. Croix Valley Shared Services, Inc.

  dba ADORAY Hospice

  • Community Based Hospice Care Agency
  • Baldwin, WI
  • NPI 1578774014
  NPD (past)
• St. Croix Valley Shared Services, Inc.

  dba Adoray Home Health and Hospice

  • Home Health Agency
  • Baldwin, WI
  • NPI 1689679094
  NPD (past)

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1295004240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COUNTY ROAD A",
            "city": "DEER PARK",
            "state": "WI",
            "postal_code": "540074106",
            "telephone_number": "715-497-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 US HIGHWAY 12",
            "address_2": "SUITE 201",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540023269",
            "telephone_number": "715-684-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPERSON",
        "first_name": "DIANE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2488-024",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Warren Hutchins, D.C.
• Kayode Idowu, RN
• Brittany Iverson
• Jammie Lynn Jacobs, LPN
• Douglas Earl Jacot, D.C.
• Brett Jensen, LAT, ATC
• Katie Kristine Johnson
• Molly Johnston
• Kate Lynn Jones, LCSW
• Jacqueline Ann Jorgenson

• Physical Therapist in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.