Active NPI
Mary Jo Given, MS,PT
- Physical Therapist
- Wirtz, VA
National Provider Identifier
1437466224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206566
- Practice address
- 144 Browndale LN
Suite 100
Wirtz, VA 24184-3689 - Phone
- (630) 880-3502
- NPI assigned
- Sep 1, 2010
- Last updated
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305206566 | VA | Primary |
| Physical Therapist | 225100000X | 070001936 | IL | |
| Geriatric Physical Therapist | 2251G0304X | 2305206566 | VA | |
| Geriatric Physical Therapist | 2251G0304X | 070001936 | IL | |
| Neurology Physical Therapist | 2251N0400X | 2305206566 | VA | |
| Neurology Physical Therapist | 2251N0400X | 070001936 | IL |
Addresses
Primary practice location
144 Browndale LN
Suite 100
Wirtz, VA 24184-3689
Mailing address
144 Browndale LN
Suite 100
Wirtz, VA 24184-3689
Phone (630) 880-3502
Other names 1
- Jo Given
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070001936 | IL | MD | Physical Therapist |
| 2305206566 | VA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1437466224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 BROWNDALE LN",
"address_2": "SUITE 100",
"city": "WIRTZ",
"state": "VA",
"postal_code": "241843689",
"telephone_number": "630-880-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 BROWNDALE LN",
"address_2": "SUITE 100",
"city": "WIRTZ",
"state": "VA",
"postal_code": "241843689",
"telephone_number": "630-880-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIVEN",
"first_name": "MARY JO",
"credential": "MS,PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206566",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070001936",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "VA",
"license": "2305206566",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "IL",
"license": "070001936",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "VA",
"license": "2305206566",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "IL",
"license": "070001936",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JO",
"last_name": "GIVEN",
"credential": "MS,PT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wirtz, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.