Active NPI
Mary Jo Foye, PT
- Physical Therapist
- Kenosha, WI
National Provider Identifier
1326240672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2692-024
- Practice address
- 5024 Green Bay Rd
Kenosha, WI 53144-1702 - Phone
- (262) 925-0200
- Fax
- (262) 925-8846
- NPI assigned
- May 31, 2007
- 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 | 2692-024 | WI | Primary |
Addresses
Primary practice location
5024 Green Bay Rd
Kenosha, WI 53144-1702
Mailing address
PO Box 081433
Racine, WI 53408-1433
Phone (262) 321-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2692-024 | Other | WI | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2692-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chad Novasic PT LTD | Physical Therapist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326240672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 081433",
"city": "RACINE",
"state": "WI",
"postal_code": "534081433",
"telephone_number": "262-321-0240",
"fax_number": "262-321-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5024 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441702",
"telephone_number": "262-925-0200",
"fax_number": "262-925-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOYE",
"first_name": "MARY JO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2692-024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2692-024",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.