Active NPI
Jill I. Timm, PT
- Physical Therapist
- Clintonville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6168-024
- Practice address
- 114 E Greentree Road
Clintonville, WI 54929 - Phone
- (715) 823-3336
- Fax
- (715) 823-3936
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Physical Therapist
- Lakewood, WI
- NPI 1023338506
-
- Physical Therapy Clinic/Center
- New London, WI
- NPI 1437187135
Physical Therapist, WI
-
- Physical Therapist
- Waupaca, WI
- NPI 1548298284
-
- Physical Therapist
- Clintonville, WI
- NPI 1528172988
-
- Physical Therapist
- Shawano, WI
- NPI 1821105354
-
- Physical Therapy Clinic/Center
- Hortonville, WI
- NPI 1164080388
Physical Therapist
-
- Physical Therapist
- Oshkosh, WI
- NPI 1952418816
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic and Spine Therapy of Lakewood, SCOrthopedic and Spine Therapy of New London SCOrthopedic and Spine Therapy of Waupaca SC
Practice addresses (Care Compare)
17187 Twin Pines Rd
Lakewood, WI 54138-9300
Phone (715) 276-1767
315 Burton Rd
Suite 107
New London, WI 54961-1176
Phone (920) 982-3670
E3277 Apple Tree LN
Waupaca, WI 54981-7515
E3277 Apple Tree LN
Waupaca, WI 54981-7580
Phone (715) 256-0358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060524000119 | WI | Practitioner - Physical Therapist in Private Practice | 8729099122 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6168-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Spine Therapy of Lakewood, SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of New London, SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Waupaca SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of New London, SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Clintonville, SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Clintonville, SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Oshkosh SC | Physical Therapist | Past | Accepting new patients |
Locations
4000 N Providence Ave
Appleton, WI 54913
Phone (920) 257-2000
114 E Green Tree Rd
Clintonville, WI 54929
Phone (715) 823-3336
1000 Midway Rd
Menasha, WI 54952
Phone (920) 257-2000
1620 N Shawano St
New London, WI 54961
Phone (920) 982-3670
315 Burton Rd
Ste 107
New London, WI 54961
Phone (920) 982-3670
E3277 Apple Tree Ln
Waupaca, WI 54981
Phone (715) 256-0358
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6168-024 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
114 E Greentree Road
Clintonville, WI 54929
Mailing address
4000 N Providence Ave
Appleton, WI 54913-8018
Phone (920) 257-2000
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40479100 | Medicaid | WI |
Other names 1
NPPES NPI Registry- Jill I. Seehaver
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2007.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1649225970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 N PROVIDENCE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138018",
"telephone_number": "920-257-2000",
"fax_number": "920-257-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E GREENTREE ROAD",
"city": "CLINTONVILLE",
"state": "WI",
"postal_code": "54929",
"telephone_number": "715-823-3336",
"fax_number": "715-823-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMM",
"first_name": "JILL",
"middle_name": "I.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "6168-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40479100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "SEEHAVER",
"middle_name": "I.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clintonville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.