Active NPI
Nicholas Jex, PT, DPT
- Physical Therapist
- Croswell, MI
National Provider Identifier
1346692373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017220
- Practice address
- 87 N Howard Ave
Unit 1
Croswell, MI 48422-1200 - Phone
- (810) 334-1127
- NPI assigned
- Jul 1, 2016
- Sex
- Male
- 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 | 5501017220 | MI | Primary |
Addresses
Primary practice location
87 N Howard Ave
Unit 1
Croswell, MI 48422-1200
Mailing address
6582 North Rd
Burtchville, MI 48059-2006
Phone (810) 334-1127
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | njex485757@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160830003206 | MI | Practitioner - Physical Therapist in Private Practice | 3779879788 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Central Michigan College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
87 N Howard Ave
Unit 1
Croswell, MI 48422-1200
Phone (810) 334-1127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champion Physical Therapy and Rehab Services LLC | Physical Therapist | Current | Accepting new patients |
| Munger Physical Therapy of Clinton Township, PLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Croswell, MI
- NPI 1063165850
MI, Physical Therapist
-
- Physical Therapist
- Clinton Township, MI
- NPI 1497268460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1346692373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6582 NORTH RD",
"city": "BURTCHVILLE",
"state": "MI",
"postal_code": "480592006",
"telephone_number": "810-334-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 N HOWARD AVE",
"address_2": "UNIT 1",
"city": "CROSWELL",
"state": "MI",
"postal_code": "484221200",
"telephone_number": "810-334-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEX",
"first_name": "NICHOLAS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-01",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017220",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "njex485757@direct.hfhs.org",
"affiliation": "N",
"address_1": "15855 19 Mile Rd",
"city": "Clinton Township",
"state": "MI",
"country_code": "US",
"postal_code": "480383504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Croswell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.