Active NPI
Paul Jones, D.P.T.
- Physical Therapist
- Green Bay, WI
National Provider Identifier
1427464403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12747-24
- Practice address
- 1160 Kepler Dr
Green Bay, WI 54311-8321 - Phone
- (920) 288-5400
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 12747-24 | WI | Primary |
Addresses
Primary practice location
1160 Kepler Dr
Green Bay, WI 54311-8321
Mailing address
1160 Kepler Dr
Green Bay, WI 54311-8321
Phone (920) 288-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 222-9777
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.21 of 100
- Quality
- 71.09
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12747-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients |
Locations
8054 Watts Rd
Madison, WI 53719
Phone (608) 662-5060
5249 E Terrace Dr
Madison, WI 53718
Phone (608) 222-9777
8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766
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 and National Provider Directory roles.
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1427464403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118321",
"telephone_number": "920-288-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118321",
"telephone_number": "920-288-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12747-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.