JILL ANDERSON (PT) – Physical Therapist, NPI 1427233071

JILL ANDERSON (PT) is a healthcare provider. based in Green bay, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 9625-24 (WI). The NPI Number for JILL ANDERSON (PT) is 1427233071

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JILL ANDERSON (PT)
NPI
1427233071
Phone
(920) 865-7124
Address
4863 MEADOW DR
Enumeration Date
2 January 2008
Last Update Date
10 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204964700
Graduation Year
2000 (26 years ago)
PAC ID
5890152482
Group Practice PAC ID
5799694675
Professional Enrollment ID
I20250121001614
Address ID
WI541629453PU940XXSTXX500

Contacts

Secure Messaging
janderson472821@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for JILL ANDERSON (PT)

  • Meadow Drive, Bangor Township, Bay County, Michigan, 48706, United States

    GREEN BAY, WI 543134405

    Phone: (920) 865-7124

    Type: Mailing

  • 116, North Main Street, Shawano, Shawano County, Wisconsin, 54166, United States

    SHAWANO, WI 541662356

    Phone: (715) 526-7370

    Type: Location

  • 940 S SAINT AUGUSTINE ST

    PULASKI, WI 541629453

    Phone: (920) 496-4700

    Type: Location

  • PO BOX 19070

    GREEN BAY, WI 543079070

    Phone: (920) 496-4700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250121001614IPhysical Therapist In Private PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities8760$0
97161Evaluation for physical therapy, typically 20 minutes5048$0
View full utilization report →

Insurance plans in this area (ZIP 54313)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799694675View full group profile
NameSpecialtyState
P O D I A T R YWI
-WI
-WI
Family Practice, Sports MedicineWI
-OH
Physical Therapist In Private PracticeWI
-WI
-WI
Internal Medicine, HospitalistWI
-WI

Reviews

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Frequently asked questions

How do payers reference JILL ANDERSON (PT)?
For JILL ANDERSON (PT), use NPI 1427233071 as the unique 10-digit identifier.
Is there an active status for JILL ANDERSON (PT)?
For scheduling context, JILL ANDERSON (PT) is shown as active in the registry.
What clinical focus is listed for JILL ANDERSON (PT)?
At a glance, JILL ANDERSON (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JILL ANDERSON (PT) associated with Green Bay?
Public fields place JILL ANDERSON (PT) around Green Bay, Wisconsin. Always confirm the exact site before visiting.
Can I trust this NPI listing for JILL ANDERSON (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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