Individual provider Active NPI

Jessica M Lois, OT

  • Occupational Therapist
  • Salem, WI
National Provider Identifier
1003329467
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6167-26 Issued in WI
Practice address
25250 75TH St
Salem, WI 53168-8705
Phone
(262) 843-4200
NPI assigned
Nov 8, 2017
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6167-26 WI Primary

Addresses

Primary practice location

25250 75TH St
Salem, WI 53168-8705

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129003366 WI Practitioner - Occupational Therapist in Private Practice 4688931603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8201 S Howell Ave
Suite 400
Oak Creek, WI 53154-8336
Phone (414) 295-9045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6167-26WIMDOccupational Therapist
6167WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Occupational Therapist CurrentSince Nov 7, 2017 Accepting new patients
Athletico LTD Occupational Therapist CurrentSince Nov 7, 2017 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Current Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Jan 23, 2023 Accepting new patients
Athletico LTD Occupational Therapist Current Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Jan 23, 2023 Accepting new patients

Locations

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

3701 80th St
Kenosha, WI 53142
Phone (262) 697-1730

5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135

2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400

8201 S Howell Ave
Ste 400
Oak Creek, WI 53154
Phone (414) 295-9045

25250 75th St
Salem, WI 53168
Phone (262) 843-4200

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1003329467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25250 75TH ST",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531688705",
            "telephone_number": "262-843-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6167-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.