NPIMap

Organization Active NPI

Jason E Meyer Physical Therapy PC

Doing business as Dubuque Physical Therapy

  • Physical Therapy Clinic/Center
  • Dubuque, IA
National Provider Identifier
1609052323
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
02877 Issued in IA
Legal business name
JASON E MEYER PHYSICAL THERAPY PC
Doing business as
Dubuque Physical Therapy
Practice address
2300 John F Kennedy Rd
Dubuque, IA 52002
Phone
(563) 588-3891
Fax
(563) 588-3893
NPI assigned
Jan 11, 2008
Last updated
Jul 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Mr. Jason E Meyer, P.T.NPI 1750320016
Title
Owner/Physical Therapist
Phone
(563) 582-4170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 02877 IA Primary

Addresses

Primary practice location

2300 John F Kennedy Rd
Dubuque, IA 52002

Mailing address

1705 Delhi Street, Lower Level
Dubuque, IA 52001-5901
Phone (563) 582-4170

Other names 1

  • Dubuque Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000564 IA Part B Supplier - Clinic/Group Practice 8325136617 Receives reassigned benefits from 16 practitioners
Practice locations: Dubuque, IA; Peosta, IA

National Provider Directory

National Provider Directory

Locations

1705 Delhi St
Lowr
Dubuque, IA 52001
Phone (563) 582-4170

2300 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 588-3891

2300 John F Kennedy Rd
Ste 1
Dubuque, IA 52002
Phone (563) 588-3891

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1609052323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DELHI STREET, LOWER LEVEL",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015901",
            "telephone_number": "563-582-4170",
            "fax_number": "563-582-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52002",
            "telephone_number": "563-588-3891",
            "fax_number": "563-588-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON E MEYER PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "563-582-4170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "02877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dubuque Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dubuque Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.