Organization Active NPI

Rem Occupational Health & Wellness Inc

  • Medical Physician Assistant
  • Brookfield, WI
National Provider Identifier
1073123758
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
REM OCCUPATIONAL HEALTH & WELLNESS INC
Practice address
21125 Enterprise Ave
Brookfield, WI 53045-5229
Phone
(414) 315-3122
Fax
(262) 753-3030
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Alicia S Kelch, PA-CNPI 1942452289
Title
Founder/Ceo
Phone
(414) 315-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

21125 Enterprise Ave
Brookfield, WI 53045-5229

Mailing address

W242S10240 Meadow Cir
Big Bend, WI 53103-9750
Phone (414) 315-3122

Other practice location 1

W156N9000 Pilgrim Rd
Menomonee Falls, WI 53051-2272
Phone (414) 315-3122

Other identifiers 1

IdentifierTypeStateIssuer
1942452289OtherWIPRIVATE INSURERS

National Provider Directory

National Provider Directory

Locations

21125 Enterprise Ave
Brookfield, WI 53045
Phone (414) 315-3122

W156N9000 Pilgrim Rd
Menomonee Falls, WI 53051
Phone (262) 502-8689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1073123758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W242S10240 MEADOW CIR",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039750",
            "telephone_number": "414-315-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21125 ENTERPRISE AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455229",
            "telephone_number": "414-315-3122",
            "fax_number": "262-753-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W156N9000 Pilgrim Rd",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530512272",
            "country_code": "US",
            "telephone_number": "414-315-3122",
            "fax_number": "262-753-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REM OCCUPATIONAL HEALTH & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "KELCH",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "414-315-3122",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURERS",
            "identifier": "1942452289",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.