Active NPI
Jon Neumann, PT
- Physical Therapist
- Joint Base Lewis McChord, WA
National Provider Identifier
1972560811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007540A
- Practice address
- 304 Pitsenbarger Blvd
Joint Base Lewis McChord, WA 98438-1201 - Phone
- (253) 982-9950
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007540A | IN | Primary |
Addresses
Primary practice location
304 Pitsenbarger Blvd
Joint Base Lewis McChord, WA 98438-1201
Mailing address
304 Pitsenbarger Blvd
Joint Base Lewis McChord, WA 98438-1201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119003976 | IL | Practitioner - Physical Therapist in Private Practice | 9436456753 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007540A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1972560811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 PITSENBARGER BLVD",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984381201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 PITSENBARGER BLVD",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984381201",
"telephone_number": "253-982-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMANN",
"first_name": "JON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007540A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.