Active NPI
Developmental Steps by Fons
- Pediatric Physical Therapist
- Janesville, WI
National Provider Identifier
1447426929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4441024
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40425500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI 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.