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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171129003366 | WI | Practitioner - Occupational Therapist in Private Practice | 4688931603 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6167-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Current | Accepting new patients | |
| Midwest Orthopedic Specialty Hospital, LLC | Current |
Accepting new patients | |
| Athletico LTD | Occupational Therapist | Current |
Accepting new patients |
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients | |
| Midwest Orthopedic Specialty Hospital, LLC | Current |
Accepting new patients | |
| Athletico LTD | Occupational Therapist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Jeffrey L Sorensen DDS
- Shamshir K Kang
- Samantha Koralesky
- Mary Elizabeth Kyle
- Lifetime Dental Care of Wisconsin, S.C.
- Lisa Marie Looney
- Roxanne Joy McClyman-Schmitt
- Kimberly Mecham
- Leigh Ann Miller
- Nikolai S Miskov
All providers in Salem, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.