Jamie Wickershiem, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6311 Issued in WI

Practice address

17500 W Bluemound Rd
Ste B
Brookfield, WI 53045-2909

Phone

(262) 901-2800

Fax

(262) 784-2914

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic and Therapeutic Institute of Milwaukee, LLCGroup PAC ID 2062469190, 47 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.05 of 100Reported as group

Quality

88.38

Improvement activities

40

Cost

64.82

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1801907464
  Medicare reassignment Care Compare group NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1366710584
  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Physical Therapist

  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Physical Therapist
  • Greenfield, WI
  • NPI 1174611313
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1033123047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 W BLUEMOUND RD",
            "address_2": "STE B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452909",
            "telephone_number": "262-901-2800",
            "fax_number": "262-784-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKERSHIEM",
        "first_name": "JAMIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40327600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wi Dental SC
• Wi LTC MHT
• Wi SHMH SC
• Andrea Wichman
• Wendy Lyn Wick, RN,LPC,SAC
• Charity Wickman, RN
• Rhianna Wienss
• Robert Wierichs, R.PH.
• Abby Wieseckel
• Anastasia L Wiley

• Physical Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.