Individual provider Active NPI

Jack Jones, M.P.T

  • Physical Therapist
  • Palatine, IL
National Provider Identifier
1588957922
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.020293 Issued in IL
Practice address
30 S Northwest Hwy
Palatine, IL 60074-6231
Phone
(224) 218-2984
NPI assigned
May 18, 2011
Last updated
May 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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 PT013499 GA
Physical Therapist 225100000X PT24581 FL
Physical Therapist 225100000X 070.020293 IL Primary

Addresses

Primary practice location

30 S Northwest Hwy
Palatine, IL 60074-6231

Mailing address

PO Box 724557
Atlanta, GA 31139-1557
Phone (334) 625-5795

Other identifiers 1

IdentifierTypeStateIssuer
13636970OtherILCAQH

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

State licenses

LicenseStateTypeSpecialty
PT24581FLMDPhysical Therapist
PT013499GAMDPhysical Therapist
070.020293ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Acworth, LLC Physical Therapist PastSince Aug 6, 2018 Accepting new patients
PT Solutions, LLC Physical Therapist Past Accepting new patients
PT Solutions of Acworth, LLC Physical Therapist Past Accepting new patients
Premier Rehab Management, LLC Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1588957922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724557",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311391557",
            "telephone_number": "334-625-5795",
            "fax_number": "334-396-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746231",
            "telephone_number": "224-218-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACK",
        "name_prefix": "Mr.",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013499",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24581",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13636970",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.