Jason Erik Mikelson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-011509 Issued in IL

Practice address

2000 W State St Ste F
Geneva, IL 60134-3696

Phone

(877) 632-6637

Fax

(708) 409-5179

NPI assigned

Jan 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Valley Orthopaedic Associates, PLLCGroup PAC ID 6507830387, 73 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.69 of 100Reported as group

Quality

74.66

Promoting interoperability

100

Improvement activities

40

Cost

64.3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.mikelson.1@26750.direct.athenahealth.com

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.

• Fox Valley Orthopaedic Associates, PLLC

  • Orthopaedic Surgery Physician
  • Geneva, IL
  • NPI 1295706851
  Medicare reassignment Care Compare group NPD
• Athletic and Therapeutic Institute of Bourbonnais, LLC

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1861503542
  Medicare reassignment NPD
• Athletic and Therapeutic Institute of Naperville LLC

  • Physical Therapist
  • Aurora, IL
  • NPI 1023129681
  Medicare reassignment NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  Medicare reassignment NPD
• Midwest Orthopaedics at Rush, LLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1811942451
  Medicare reassignment NPD
• Orthomidwest, PLLC

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1730136474

  Physical Therapist

  Medicare reassignment NPD
• Athletic & Therapeutic Institute of Bourbonnais, LLC

  • Physical Therapist
  • Bloomingdale, IL
  • NPI 1306177910
  NPD
• Athletic and Therapeutic Institute of Bourbonnais, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbia, IL
  • NPI 1124766696

  Physical Therapist

  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hazel Crest, IL
  • NPI 1043952641
  NPD
• Fox Valley Orthopaedic Associates, PLLC

  • Ambulatory Surgical Clinic/Center
  • Geneva, IL
  • NPI 1104897644
  NPD
• Fox Valley Orthopaedic Associates, S.C.

  • Orthopaedic Surgery Physician
  • Elgin, IL
  • NPI 1689212623
  NPD
• Midwest Orthopaedics at Rush LLC

  • Durable Medical Equipment & Medical Supplies
  • Orland Park, IL
  • NPI 1134871908
  NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1336296045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W STATE ST STE F",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343696",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W STATE ST STE F",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343696",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELSON",
        "first_name": "JASON",
        "middle_name": "ERIK",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-011509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT STATE LICENSE #",
            "identifier": "070-011509",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul B Menocci, D.O.
• Jillian Mergen, DC
• Patrick Michael Meyer, D.C.
• Jacqueline Rose Michael, MD
• Samantha Claire Michaels, MS, RD
• Cori Miles, P.T.
• Sheri Miles
• Kathryn Milewski, PHARMD
• Katherine Sullivan Miley, PSY.D.
• Aaron Michael Miller, M.D.

• Physical Therapist in Geneva, IL
• Providers in Geneva, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.