Organization Active NPI

Developmental Steps by Fons

  • Pediatric Physical Therapist
  • Janesville, WI
National Provider Identifier
1447426929
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
4441024 Issued in WI
Legal business name
DEVELOPMENTAL STEPS BY FONS
Practice address
4102 Foxwood CT
Janesville, WI 53546-8887
Phone
(608) 743-0741
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Jill Fons
Title
Manager
Phone
(608) 743-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X 4441024 WI Primary

Addresses

Primary practice location

4102 Foxwood CT
Janesville, WI 53546-8887

Mailing address

4102 Foxwood CT
Janesville, WI 53546-8887

Other identifiers 1

IdentifierTypeStateIssuer
40425500MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1447426929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 FOXWOOD CT",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535468887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 FOXWOOD CT",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535468887",
            "telephone_number": "608-743-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL STEPS BY FONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "FONS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "608-743-0741"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WI",
            "license": "4441024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40425500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.