Jeremy Jordan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004752 Issued in IA

Practice address

1705 Delhi St
Lower Level
Dubuque, IA 52001-5900

Phone

(563) 582-4170

Fax

(563) 582-4181

NPI assigned

Jul 6, 2011

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 IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason E Meyer Physical Therapy PCGroup PAC ID 8325136617, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jason E Meyer Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Dubuque, IA
  • NPI 1609052323

  IA

  Medicare reassignment Care Compare group NPD
• Dubuque Pediatric Therapies

  • Physical Therapist
  • Peosta, IA
  • NPI 1275472433
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1427345784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DELHI ST",
            "address_2": "LOWER LEVEL",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015900",
            "telephone_number": "563-582-4170",
            "fax_number": "563-582-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 DELHI ST",
            "address_2": "LOWER LEVEL",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015900",
            "telephone_number": "563-582-4170",
            "fax_number": "563-582-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1609052323",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Madeline Johnson, PH.D
• Thomas Mark Johnson, M.D.
• Alexander J Jones, DO
• Samantha Jones, BCABA
• Sheridan Islay Jones, FNP
• Gerald Thomas Jorgensen, PH.D.
• Preeti Mary Joseph, MD
• Julia Updegraff Counseling LLC
• Sarah A Justmann, A.R.N.P.
• JWDR Dialysis, PLLC

• All providers in Dubuque, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.