Individual provider Active NPI

Jacob Hegge, DPT

  • Physical Therapist
  • Onalaska, WI
National Provider Identifier
1598201980
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13367-24 Issued in WI
Practice address
852 Summers Day LN
Onalaska, WI 54650-8254
Phone
(608) 630-1006
NPI assigned
Jan 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13367-24 WI Primary

Addresses

Primary practice location

852 Summers Day LN
Onalaska, WI 54650-8254

Mailing address

852 Summers Day LN
Onalaska, WI 54650-8254
Phone (608) 630-1006

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
13367-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts & Associates Physical Therapy SC CurrentSince Dec 10, 2023 Accepting new patients

Locations

809 W North St
Plainfield, WI 54966
Phone (715) 529-3487

621 8th St S
Wisconsin Rapids, WI 54494
Phone (715) 529-3487

Organizations & group practices 1

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": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1598201980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 SUMMERS DAY LN",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508254",
            "telephone_number": "608-630-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 SUMMERS DAY LN",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508254",
            "telephone_number": "608-630-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGE",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13367-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.