Individual provider Active NPI

Jaime S Jose Jr.

  • Physical Therapist
  • Muscatine, IA
National Provider Identifier
1780282327
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
Lutheran Living Senior Campus
2421 Lutheran Drive
Muscatine, IA 52761
Phone
(563) 263-1241
NPI assigned
Oct 15, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

Lutheran Living Senior Campus
2421 Lutheran Drive
Muscatine, IA 52761

Mailing address

8500 Bluffstone CV Ste A201
Austin, TX 78759-7846

Other practice location 1

Onr Rehab at Sunnybrook
3515 Diana Queen Drive
Muscatine, IA 52761
Phone (800) 687-2455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120002451 IA Practitioner - Physical Therapist in Private Practice 8426469537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

2210 Ave H
Fort Madison, IA 52627-4003
Phone (319) 219-5963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Asl, LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Empowerme Asl, LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1780282327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 BLUFFSTONE CV STE A201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUTHERAN LIVING SENIOR CAMPUS",
            "address_2": "2421 LUTHERAN DRIVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "52761",
            "telephone_number": "563-263-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "ONR REHAB AT SUNNYBROOK",
            "address_2": "3515 DIANA QUEEN DRIVE",
            "address_purpose": "LOCATION",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "52761",
            "country_code": "US",
            "telephone_number": "800-687-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JAIME",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.