Active NPI
Jasmine Reiss, DPT
- Physical Therapist
- Dubuque, IA
National Provider Identifier
1447701669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 081437
- Practice address
- 1880 Radford Rd Ste 4
Dubuque, IA 52002-2272 - Phone
- (563) 583-3408
- Fax
- (563) 265-5789
- NPI assigned
- Oct 24, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 081437 | IA | Primary |
Addresses
Primary practice location
1880 Radford Rd Ste 4
Dubuque, IA 52002-2272
Mailing address
1880 Radford Rd Ste 4
Dubuque, IA 52002-2272
Phone (563) 583-3408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665950 | Medicaid | IA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081437 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1447701669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 RADFORD RD STE 4",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022272",
"telephone_number": "563-583-3408",
"fax_number": "563-265-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 RADFORD RD STE 4",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022272",
"telephone_number": "563-583-3408",
"fax_number": "563-265-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISS",
"first_name": "JASMINE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "081437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665950",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.