Individual provider Active NPI

Jean M Hammill, PT, DPT, MA, OCS,ATC

  • Physical Therapist
  • Marion, IA
National Provider Identifier
1548372014
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00878 Issued in IA
Practice address
999 44TH St
Suite 10,000
Marion, IA 52302-3846
Phone
(319) 373-7311
Fax
(319) 373-7313
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 878 IA
Physical Therapist 225100000X 00878 IA Primary

Addresses

Primary practice location

999 44TH St
Suite 10,000
Marion, IA 52302-3846

Mailing address

999 44TH St
Suite 10,000
Marion, IA 52302-3846
Phone (319) 373-7311

Other identifiers 2

IdentifierTypeStateIssuer
0143966MedicaidIA
54255OtherIAWELLMARK BLUE CROSS/BLUE

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 Arts

State licenses

LicenseStateTypeSpecialty
00878IAMDClinical Social Worker
878IAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1548372014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 44TH ST",
            "address_2": "SUITE 10,000",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023846",
            "telephone_number": "319-373-7311",
            "fax_number": "319-373-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 44TH ST",
            "address_2": "SUITE 10,000",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023846",
            "telephone_number": "319-373-7311",
            "fax_number": "319-373-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMILL",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "PT, DPT, MA, OCS,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "878",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143966",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS/BLUE",
            "identifier": "54255",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.