Individual provider Active NPI

Jaclyn L Ritchay, PT

  • Physical Therapist
  • Stevens Point, WI
National Provider Identifier
1386939098
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11764-24 Issued in WI
Practice address
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone
(715) 346-5000
NPI assigned
Jun 10, 2011
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11764-24 WI Primary

Addresses

Primary practice location

900 Illinois Ave
Stevens Point, WI 54481-3114

Mailing address

3500 Hoover Road
Stevens Point, WI 54481
Phone (715) 346-0303

Other identifiers 1

IdentifierTypeStateIssuer
1386939098MedicaidWI

Other names 1

  • Jaclyn L Hjortness Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915002160 WI Practitioner - Physical Therapist in Private Practice 4183009848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Point Forward Physical Therapy LTDGroup PAC ID 5890886550, 4 clinicians

Practice addresses (Care Compare)

2901 Hoover Rd
Stevens Point, WI 54481-5608
Phone (715) 254-3978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11764-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Point Forward Physical Therapy LTD. Physical Therapist CurrentSince Jun 13, 2022 Accepting new patients

Locations

2901 Hoover Rd
Stevens Point, WI 54481
Phone (715) 254-3978

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1386939098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HOOVER ROAD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "715-346-0303",
            "fax_number": "713-346-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ILLINOIS AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813114",
            "telephone_number": "715-346-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHAY",
        "first_name": "JACLYN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11764-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386939098",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "HJORTNESS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.