Individual provider Active NPI

Jill Cruise O'Brien, MPT

  • Physical Therapist
  • La Crosse, WI
National Provider Identifier
1568420248
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12216 Issued in WI
Practice address
3208 State Rd Ste a
La Crosse, WI 54601-0708
Phone
(608) 668-6700
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12216 WI Primary
Physical Therapist 225100000X 03660 IA
Physical Therapist 225100000X 7995 MN

Addresses

Primary practice location

3208 State Rd Ste a
La Crosse, WI 54601-0708

Mailing address

3208 State Rd Ste a
La Crosse, WI 54601-0708
Phone (608) 668-6700

Other names 1

  • Jill Marie Cruise Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130201000349 WI Practitioner - Physical Therapist in Private Practice 6800976390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic PT LLCGroup PAC ID 3779948302, 9 clinicians

Practice addresses (Care Compare)

1430 Main St
Onalaska, WI 54650-2835
Phone (608) 351-3049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03660IAMDPhysical Therapist
7995MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
O'Brien Physical Therapy CurrentSince Jul 14, 2024 Accepting new patients
Gundersen Lutheran Medical Center, Inc. Past Accepting new patients
Gundersen Clinic LTD Past Accepting new patients

Locations

3208 State Rd
Ste A
La Crosse, WI 54601
Phone (608) 668-6700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1568420248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 STATE RD STE A",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546010708",
            "telephone_number": "608-668-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 STATE RD STE A",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546010708",
            "telephone_number": "608-668-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JILL",
        "middle_name": "CRUISE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12216",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03660",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "CRUISE",
            "middle_name": "MARIE",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.