NPIMap

Organization Active NPI

Jet PT PC

  • Physical Therapist
  • Washington, IA
National Provider Identifier
1750440301
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00346 Issued in IA
Legal business name
JET PT PC
Practice address
511 Highway 1 S
Washington, IA 52353-9782
Phone
(319) 653-5494
Fax
(319) 863-9016
NPI assigned
Dec 8, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Eric Dean Turner, P TNPI 1578542577
Title
Owner
Phone
(319) 653-5494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00346 IA Primary
Occupational Therapist 225X00000X 01219 IA

Addresses

Primary practice location

511 Highway 1 S
Washington, IA 52353-9782

Mailing address

511 Highway 1 S
Washington, IA 52353-9782
Phone (319) 653-5494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050906000230 IA Part B Supplier - Clinic/Group Practice 9234161886 Receives reassigned benefits from 5 practitioners
Practice locations: Washington, IA; Wellman, IA

National Provider Directory

National Provider Directory

Locations

1506 E Washington St
Washington, IA 52353
Phone (319) 653-5494

511 Highway 1 S
Washington, IA 52353
Phone (319) 653-5494

525 13th St
Ste 101
Wellman, IA 52356
Phone (319) 646-5381

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1750440301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 HIGHWAY 1 S",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523539782",
            "telephone_number": "319-653-5494",
            "fax_number": "319-863-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 HIGHWAY 1 S",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523539782",
            "telephone_number": "319-653-5494",
            "fax_number": "319-863-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-653-5494",
        "authorized_official_credential": "P T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00346",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.