Individual provider Active NPI

Jillian Atkinson, DPT

  • Physical Therapist
  • Indianola, IA
National Provider Identifier
1619782059
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
129642 Issued in IA
Practice address
1507 N 1St St
Indianola, IA 50125-3703
Phone
(515) 961-7435
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 129642 IA Primary

Addresses

Primary practice location

1507 N 1St St
Indianola, IA 50125-3703

Mailing address

PO Box 461
Nevada, IA 50201-0461
Phone (515) 382-3366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502001036 IA Practitioner - Physical Therapist in Private Practice 6709302763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
21St Century Rehab PCGroup PAC ID 1456250448, 29 clinicians

Practice addresses (Care Compare)

1507 N 1St St
Indianola Physical Therapy
Indianola, IA 50125-3703
Phone (515) 961-7435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129642IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
21St Century Rehab PC CurrentSince Feb 12, 2025 Accepting new patients
21St Century Rehab, PC Physical Therapist Current Accepting new patients
21St Century Rehab PC CurrentSince Feb 12, 2025 Accepting new patients

Locations

1003 8th St SW
Ste D
Altoona, IA 50009
Phone (515) 967-4121

1507 N 1st St
Indianola, IA 50125
Phone (515) 961-7435

Organizations & group practices 3

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": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1619782059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502010461",
            "telephone_number": "515-382-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N 1ST ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253703",
            "telephone_number": "515-961-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "JILLIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "129642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.