Jessica M Lois, OT

Individual provider Active NPI Occupational Therapist · Salem, WI

NPI 1003329467 · NPPES record last updated Dec 7, 2018

Key facts

NPI
1003329467
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6167-26 (WI)
Practice address
25250 75TH St
Salem, WI 53168-8705
Phone
(262) 843-4200
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopedic Specialty Hospital, LLC (65 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6167-26WIMDOccupational Therapist

Practice roles

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

Specialties & licenses

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2018.

{
    "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

All providers in Salem, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.