Jill Marie Kaspar, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

850 Brook Forest Ave
Unit I
Shorewood, IL 60404-8513

Phone

(630) 904-5641

Fax

(630) 904-5661

NPI assigned

Oct 4, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Action Physical Medicine & Rehabilitation, SC

  • Physical Medicine & Rehabilitation Physician
  • Shorewood, IL
  • NPI 1174593016
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1821184458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE",
            "address_2": "UNIT I",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048513",
            "telephone_number": "815-725-4919",
            "fax_number": "815-725-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE",
            "address_2": "UNIT I",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048513",
            "telephone_number": "630-904-5641",
            "fax_number": "630-904-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPAR",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932300",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jordan Jones, CCC-SLP
• Lori Jones, CPNP
• Ann Westcot Jordan, PH.D.
• Sonia V Joubert, CHIROPRACTIC PHYSICI
• Thomas C Kaley, PHARMD
• Barbara Kellogg, COTA/L
• Janet Kendall, RPH
• Traci Lynne Keyster, FNP
• Matthew Reiot Klebenow, O.T.
• Kelsey Margaret Knarr, MA. CFY-SLP

• All providers in Shorewood, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.