Jennifer Jo Gidley, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-010487 Issued in IL

Practice address

4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262

Phone

(618) 242-8887

Fax

(618) 242-2551

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

79.43 of 100Reported as group

Quality

59.68

Promoting interoperability

92

Improvement activities

40

Cost

72.02

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthopaedic Center of Southern Illinois, LTD.

  • Orthopaedic Surgery Physician
  • Mount Vernon, IL
  • NPI 1134171226
  NPD
• Orthopaedic Center of Southern Illinois, LTD.

  • Orthopaedic Surgery Physician
  • Centralia, IL
  • NPI 1932432143
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730131152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 VETERANS MEMORIAL DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646262",
            "telephone_number": "618-242-8887",
            "fax_number": "618-242-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 VETERANS MEMORIAL DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646262",
            "telephone_number": "618-242-8887",
            "fax_number": "618-242-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDLEY",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Garrison, LCPC
• Gary R. Atchison, DC
• B J Gee, RRT
• Carla Geha I
• Macey Gettinger
• Heather Renee Gilbert, MA, QMHP
• Sharron Gingrich, NP
• Scott Glasgow
• Benton Duane Goff, MPH
• Good Samaritan Regional Health Center

• Physical Therapist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.