Individual provider Active NPI

Jane E Worley, PT

  • Orthopedic Physical Therapist
  • Superior, WI
National Provider Identifier
1952588659
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3809 Issued in WI
Practice address
823 Belknap St
Suite 104
Superior, WI 54880-2960
Phone
(715) 394-6355
NPI assigned
Jan 24, 2008
Last updated
May 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6060 MN
Orthopedic Physical Therapist 2251X0800X 3809 WI Primary

Addresses

Primary practice location

823 Belknap St
Suite 104
Superior, WI 54880-2960

Mailing address

16 E Kent Rd
Duluth, MN 55812-1420
Phone (218) 391-1084

Other names 1

  • Jane E Hill Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000723 WI Practitioner - Physical Therapist in Private Practice 0941360085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Muscle and Joint Therapy IncGroup PAC ID 1355433640, 5 clinicians

Practice addresses (Care Compare)

823 Belknap St
Suite 104
Superior, WI 54880-2974
Phone (715) 394-6355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3809WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Muscle & Joint Therapy Inc Orthopedic CurrentSince May 24, 2013 Accepting new patients
Lake Superior Physical Therapy Inc PastSince Feb 3, 2002 Accepting new patients

Locations

823 Belknap St
Ste 1
Superior, WI 54880

823 Belknap St
Ste 104
Superior, WI 54880
Phone (715) 394-6355

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1952588659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E KENT RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121420",
            "telephone_number": "218-391-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 BELKNAP ST",
            "address_2": "SUITE 104",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802960",
            "telephone_number": "715-394-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "6060",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "3809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "HILL",
            "middle_name": "E",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.