Jason T. Grandone, PT
Individual provider Active NPI Physical Therapist · Galesburg, IL
NPI 1982603502 · NPPES record last updated Apr 20, 2011
Key facts
- NPI
- 1982603502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070010049 (IL)
- Practice address
- 765 N Kellogg St
Galesburg, IL 61401-2875 - Phone
- (309) 343-3434
- Fax
- (309) 343-3456
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Physical Therapy, LLC
Practice addresses (Care Compare)
15 Apex Dr
Highland, IL 62249-1282
Phone (618) 651-0444
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.03 of 100
- Quality
- 74.47
- Improvement activities
- 40
- Cost
- 66.89
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130809000409 | IL | Practitioner - Physical Therapist in Private Practice | 7517136823 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Midwest PCW PT, LLC | Physical Therapist | Current |
Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
538 Mason Dr
Breese, IL 62230
Phone (618) 623-0580
4955 S State Route 159
Ste B
Glen Carbon, IL 62034
Phone (618) 288-4677
4280 S State Route 159
Ste 3
Glen Carbon, IL 62034
Phone (618) 288-4233
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070010049 | IL | Yes |
Addresses
Primary practice location
765 N Kellogg St
Galesburg, IL 61401-2875
Mailing address
765 N Kellogg St
Galesburg, IL 61401-2871
Phone (309) 343-3434
Other providers in Galesburg, IL
- Graham Hospital Association
- Graham Hospital Association
- Graham Hospital Association
- Graham Hospital Association
- Graham Hospital Association
- Josette Emily Grappe
- Great River Pain Clinic LLC
- Lynn L Greeley
- Taylor Jordan Green
- Brandi N Grimes
All providers in Galesburg, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.