Jack William Pamperin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6584-26 Issued in WI

Practice address

3021 Patton Dr
Plover, WI 54467-2642

Phone

(715) 544-2322

NPI assigned

Jun 7, 2020

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.

• Transitions at Home, Inc.

  • Home Health Agency
  • Mount Horeb, WI
  • NPI 1003450008
  NPD (past)
• Transitions at Home, Inc.

  • Home Health Agency
  • Stevens Point, WI
  • NPI 1013457738
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2020.

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1013531870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 SONGBIRD LN UNIT J5",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828652",
            "telephone_number": "920-841-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 PATTON DR",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672642",
            "telephone_number": "715-544-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPERIN",
        "first_name": "JACK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6584-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Haven Inc.
• Roxanne Nowak, LPC, LMFT
• Anna K Nummelin, DNP, ARNP, FNP-BC
• Angela M Okon, MS, LPC
• Oswald Counseling Associates, Inc.
• Paige Parr
• Plover Chiropractic Center
• Plover Chiropractic Center SC
• Plover Hometown Pharmacy LLC
• Plover Psychological Clinic, LLC

• All providers in Plover, WI
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.