Individual provider Active NPI

Jeanne Giampa, PT

  • Physical Therapist
  • Crystal Lake, IL
National Provider Identifier
1295941268
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070006761 Issued in IL
Practice address
5150 Northwest Hwy
Crystal Lake, IL 60014-8058
Phone
(815) 455-9800
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 070006761 IL Primary

Addresses

Primary practice location

5150 Northwest Hwy
Crystal Lake, IL 60014-8058

Mailing address

586 Shepard St
Rhinelander, WI 54501-3552
Phone (715) 365-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726000043 WI Practitioner - Physical Therapist in Private Practice 9234532565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health in Motion, LLCGroup PAC ID 1153311972, 26 clinicians

Practice addresses (Care Compare)

501 W Lincoln St
Crandon, WI 54520-1571
Phone (715) 365-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070006761ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health in Motion, LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Health in Motion of Wisconsin, LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Locations

720 Ackley St
Antigo, WI 54409
Phone (715) 623-2292

500 S Center Ave
Merrill, WI 54452
Phone (715) 722-1101

586 Shepard St
Rhinelander, WI 54501
Phone (715) 365-5256

930 S 17th Ave
Wausau, WI 54401
Phone (715) 870-2225

Organizations & group practices 3

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1295941268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 SHEPARD ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013552",
            "telephone_number": "715-365-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 NORTHWEST HWY",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148058",
            "telephone_number": "815-455-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMPA",
        "first_name": "JEANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070006761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.