Active NPI
Rem Occupational Health & Wellness Inc
- Medical Physician Assistant
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia S Kelch, PA-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942452289 | Other | WI | PRIVATE INSURERS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Menomonee Falls, WI
- NPI 1942452289
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.