Jill Ann Rubert, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3105 Issued in WI

Practice address

W1185 McCrae Rd
Fall River, WI 53932

Phone

(920) 484-6444

Fax

(920) 484-6450

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Rubert Chiropractic LTDGroup PAC ID 1052448149, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rubert Chiropractic LTD

  • Chiropractor
  • Fall River, WI
  • NPI 1083780670
  Medicare reassignment Care Compare group NPD Authorized official
• Kluewer Chiropractic, Inc

  • Chiropractor
  • Beaver Dam, WI
  • NPI 1467832899
  NPD

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1336215920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1185 MCCRAE RD",
            "city": "FALL RIVER",
            "state": "WI",
            "postal_code": "53932",
            "telephone_number": "920-484-6444",
            "fax_number": "920-484-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W1185 MCCRAE RD",
            "city": "FALL RIVER",
            "state": "WI",
            "postal_code": "53932",
            "telephone_number": "920-484-6444",
            "fax_number": "920-484-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBERT",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "350049198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Lee Klingaman, P.T.A.
• Joanne Regine Kurlinski, MS:CCC:SLP
• Haley Pasewald, COTA
• Devin Pope
• Rubert Chiropractic LTD
• Sara Jane Rubert, DC
• Jessica Sampolinski
• Amanda Marie Sullivan, L.P.N,

• Chiropractor in Fall River, WI
• Providers in Fall River, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.