Jose Crespo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12810-24 Issued in WI

Practice address

315 N Milwaukee St
Waterford, WI 53185-4432

Phone

(262) 514-2700

Fax

(262) 514-3003

NPI assigned

Oct 20, 2014

Last updated

Mar 21, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

57.28 of 100Reported as group

Quality

60.36

Promoting interoperability

0

Improvement activities

40

Cost

80.58

Medicare enrollment (NPD)

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.

• Vertigo Atlanta & Physical Therapy

  • Physical Therapy Clinic/Center
  • Brookhaven, GA
  • NPI 1316710932
  NPD Authorized official

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1295139236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N MILWAUKEE ST",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854432",
            "telephone_number": "262-514-2700",
            "fax_number": "262-514-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-20",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12810-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Casper
• Kelsie Chasten, OTR
• Katlyn Christiansen
• Roxanne Lynn Colwell, PHARMD
• Cornerstone Community Care LLC
• Lisa Lyn Cruz, DDS, MS
• Deidri Daigneault, OTR
• Jennifer Jayne Decker, MD
• Allison Rose Delorme, D.D.S.
• Lenore Marie Desouto-Thren, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.