Individual provider Active NPI

Jill I. Timm, PT

  • Physical Therapist
  • Clintonville, WI
National Provider Identifier
1649225970
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6168-024 Issued in WI
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.

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, SC 7 clinicians
Orthopedic and Spine Therapy of New London SC 7 clinicians
Orthopedic and Spine Therapy of Waupaca SC 3 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
6168-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Spine Therapy of Lakewood, SC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Orthopedic & Spine Therapy of New London, SC Physical Therapist CurrentSince May 18, 2025 Accepting new patients
Orthopedic & Spine Therapy of Waupaca SC Physical Therapist CurrentSince Aug 27, 2007 Accepting new patients
Orthopedic & Spine Therapy of New London, SC Physical Therapist CurrentSince Sep 1, 2011 Accepting new patients
Orthopedic & Spine Therapy of Clintonville, SC Physical Therapist CurrentSince May 8, 2006 Accepting new patients
Orthopedic & Spine Therapy of Clintonville, SC Physical Therapist CurrentSince May 8, 2006 Accepting new patients
Orthopedic & Spine Therapy of Oshkosh SC Physical Therapist PastSince Jun 15, 2025 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 6168-024 WI Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
40479100MedicaidWI

Other names 1

NPPES NPI Registry
  • Jill I. Seehaver Former name

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.

Verify at the official NPI Registry.