Organization Active NPI

Joints in Motion Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pewaukee, WI
National Provider Identifier
1356372809
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOINTS IN MOTION MEDICAL, LLC
Practice address
1343 E Wisconsin Avenue
Suite 112
Pewaukee, WI 53072
Phone
(262) 547-4276
Fax
(262) 547-0512
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Mr. James E Cleary Jr.
Title
Owner
Phone
(414) 507-5704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1343 E Wisconsin Avenue
Suite 112
Pewaukee, WI 53072

Mailing address

1343 E Wisconsin Avenue
Suite 112
Pewaukee, WI 53072-3741
Phone (262) 547-4276

Other identifiers 1

IdentifierTypeStateIssuer
41572000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041369 WI DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 1759594435 Practice locations: Pewaukee, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Joints in Motion Medical LLC1343 E Wisconsin Ave, Pewaukee, WI 53072-3741(262) 547-4276 Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Pneumatic Compression Devices and/or Supplies|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes an… Accepts assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory
Tax ID family
Joints in Motion Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

525 W River Woods Pkwy
Ste 120
Glendale, WI 53212

1343 E Wisconsin Ave
Ste 112
Pewaukee, WI 53072
Phone (262) 547-4276

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1356372809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 E WISCONSIN AVENUE",
            "address_2": "SUITE 112",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723741",
            "telephone_number": "262-547-4276",
            "fax_number": "262-547-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 E WISCONSIN AVENUE",
            "address_2": "SUITE 112",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "53072",
            "telephone_number": "262-547-4276",
            "fax_number": "262-547-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINTS IN MOTION MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-507-5704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41572000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.