Individual provider Active NPI

Jillian McDonnell, DPT

  • Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1952755753
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
078527 Issued in IA
Practice address
202 10TH St SE Ste 210
Cedar Rapids, IA 52403-2419
Phone
(319) 247-3425
Fax
(877) 876-2384
NPI assigned
Apr 18, 2016
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 078527 IA Primary

Addresses

Primary practice location

202 10TH St SE Ste 210
Cedar Rapids, IA 52403-2419

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address entconsultants@entconsultants.net
Direct Messaging Address northbrookmanor@summitcare.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712001768 IA Practitioner - Physical Therapist in Private Practice 4880986850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic of Iowa PCGroup PAC ID 2163325242, 132 clinicians

Practice addresses (Care Compare)

202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

Merit-based Incentive Payment System (MIPS)

Final score
83.5 of 100Reported as group
Quality
68.67
Promoting interoperability
100
Improvement activities
40
Cost
76.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078527IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Consultants and Hearing Services PLC CurrentSince Apr 1, 2017 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Oct 20, 2023 Accepting new patients
Physicians Clinic of Iowa, PC CurrentSince Jun 7, 2021 Accepting new patients
Physicians' Clinic of Iowa, PC CurrentSince Jun 7, 2021 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Oct 20, 2023 Accepting new patients
Allergy, Asthma & Immunology Associates P.C. PastSince Aug 1, 2012 Accepting new patients
Ear Nose and Throat Consultants LLC Past Accepting new patients

Locations

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

202 10th St SE
Ste 210
Cedar Rapids, IA 52403
Phone (319) 247-3425

12499 University Ave
Ste 250
Clive, IA 50325
Phone (515) 985-7530

3414 Northport Dr
#2
Muscatine, IA 52761
Phone (563) 263-2639

2730 Pierce St
Sioux City, IA 51104
Phone (712) 224-3380

4301 Sergeant Rd
Ste 215
Sioux City, IA 51106
Phone (605) 217-4320

3735 86th St
Urbandale, IA 50322
Phone (515) 270-8545

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

101 Tower Rd
Ste 120
North Sioux City, SD 57049
Phone (605) 217-4320

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD

Organizations & group practices 7

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1952755753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 210",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032419",
            "telephone_number": "319-247-3425",
            "fax_number": "877-876-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "JILLIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "078527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "entconsultants@entconsultants.net",
            "affiliation": "N",
            "address_1": "12499 University Ave Ste 250",
            "city": "Clive",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503258271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "northbrookmanor@summitcare.net",
            "affiliation": "N",
            "endpointDescription": "DOR email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6420 Council St NE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524021129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.