John R Jaeger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5962 Issued in WI

Practice address

2901 Hoover Rd
Stevens Point, WI 54481-5608

Phone

(715) 254-3978

Fax

(715) 254-3936

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Point Forward Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • Stevens Point, WI
  • NPI 1194929190

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Onpoint Performance LLC

  • Physical Therapist
  • Stevens Point, WI
  • NPI 1508369646
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1740308287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NEBEL ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815544",
            "telephone_number": "715-570-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 HOOVER RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815608",
            "telephone_number": "715-254-3978",
            "fax_number": "715-254-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE#",
            "identifier": "5962",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• International Quality Homecare of Wisconsin LLC
• Lindsey Irwin, PHARMD
• Ivy Path Wellness & Therapy, LLC
• Crystal Eliza Jackson, MS, BCBA
• Erik Jacobs, PTA, BS
• Kati Jameson, DPT
• Lisa M Jamison, MD
• Andrea Kay Janikowski, DPT
• Elizabeth M Janssen, PT
• Gail H Janz, PT

• Physical Therapist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.