Active NPI
Thomas Michael Jones, PT
- Physical Therapist
- Whitewater, WI
National Provider Identifier
1376696989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3452-024
- Practice address
- 1461 W Main St
Whitewater, WI 53190-1568 - Phone
- (262) 473-5599
- Fax
- (262) 473-8522
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 9, 2007
- 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 | 3452-024 | WI | Primary |
Addresses
Primary practice location
1461 W Main St
Whitewater, WI 53190-1568
Mailing address
7 Margaret Ave
Fort Atkinson, WI 53538-9391
Phone (920) 563-1084
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3452-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376696989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MARGARET AVE",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535389391",
"telephone_number": "920-563-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 W MAIN ST",
"city": "WHITEWATER",
"state": "WI",
"postal_code": "531901568",
"telephone_number": "262-473-5599",
"fax_number": "262-473-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3452-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitewater, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.