Josiah D. Polito, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004743 Issued in IA

Practice address

1210 West Main St.
Manchester, IA 52057-2305

Phone

(563) 927-1499

Fax

(563) 927-1489

NPI assigned

Jul 13, 2011

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason J. Putz Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Dyersville, IA
  • NPI 1306033568

  IA

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason J. Putz Physical Therapy P.C. 18 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2016.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1982992848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 11TH ST SE",
            "address_2": "SUITE A",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402050",
            "telephone_number": "563-875-8615",
            "fax_number": "563-875-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WEST MAIN ST.",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520572305",
            "telephone_number": "563-927-1499",
            "fax_number": "563-927-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITO",
        "first_name": "JOSIAH",
        "middle_name": "D.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Benjamin Payne, D.D.S.
• Andrew James Pepper
• Sarah L Phelps, LMHC
• Physicians' Clinic of Iowa. PC
• Abigail Catherine Placke, MS, T-LMHC
• Debra Prier, IADC
• Michelle S Radloff, ARNP
• Lindsay Rave, ARNP
• Real Digs Nutrition
• Cara Recker, MS, RDN, LD, CDCES

• All providers in Manchester, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.