Jermaine Wilkerson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4582 Issued in NM

Practice address

2404 S Locust St Ste 5
Las Cruces, NM 88001-5789

Phone

(575) 521-4188

Fax

(575) 521-3668

NPI assigned

Feb 10, 2015

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

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Sport and Spine Center IncGroup PAC ID 5496656563, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

59.09 of 100Reported as individual

Quality

39.3

Improvement activities

40

Cost

74.92

Medicare enrollment (NPD)

Enrolled

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.

• Southwest Sport and Spine Center Inc

  • Physical Therapist
  • Las Cruces, NM
  • NPI 1164475208

  TX

  Medicare reassignment Care Compare group NPD
• Real View Diagnostics LLC

  • Physical Therapist
  • Canutillo, TX
  • NPI 1336882026
  NPD

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1912398165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST STE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "575-521-4188",
            "fax_number": "575-521-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST STE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "575-521-4188",
            "fax_number": "575-521-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JERMAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanna Marie Wigger, MS CCC-SLP
• Nathan Andrew Wigner, MD
• Randall Dean Wilcox, LAB DIRECTOR
• Daniel George Wilczak, DC, MSR
• Andrew Mark Wilke, M.D.
• Taylor Wilkinson, DDS
• Tiffany Wilkinson, SLP
• William Baptist & Associates PLLC
• William T. Baker D.O. P.a.
• Abriana Williams

• Physical Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.