Active NPI
Jason T. Grandone, PT
- Physical Therapist
- Galesburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070010049
- Practice address
- 765 N Kellogg St
Galesburg, IL 61401-2875 - Phone
- (309) 343-3434
- Fax
- (309) 343-3456
- NPI assigned
- Jul 15, 2005
- Last updated
- Apr 20, 2011
- 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 | 070010049 | IL | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070010049 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | 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 | 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
4280 S State Route 159
Ste 3
Glen Carbon, IL 62034
Phone (618) 288-4233
4955 S State Route 159
Ste B
Glen Carbon, IL 62034
Phone (618) 288-4677
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
Organizations & group practices 4
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.
-
dba ApexNetwork Physical Therapy
- Specialist
- Highland, IL
- NPI 1033166061
Physical Therapist
-
dba ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- Centerton, AR
- NPI 1710732607
Physical Therapist
-
- Physical Therapy Clinic/Center
- Ballwin, MO
- NPI 1295929644
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1982603502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 N KELLOGG ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012871",
"telephone_number": "309-343-3434",
"fax_number": "309-343-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 N KELLOGG ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012875",
"telephone_number": "309-343-3434",
"fax_number": "309-343-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDONE",
"first_name": "JASON",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070010049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
- Graham Hospital Association (GMG South - Primary & Convenient Care Clinic)
- Graham Hospital Association
- Graham Hospital Association
- Graham Hospital Association (Knox & Fulton County Wound and Hyperbaric Medicine)
- Graham Hospital Association
- Josette Emily Grappe, M.A., CCC-SLP
- Great River Pain Clinic LLC
- Lynn L Greeley, M.C.
- Taylor Jordan Green, FNP
- Brandi N Grimes, CADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.