Kimberly Ileana Jacobs, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3746-026 Issued in WI

Practice address

1405 Mill St
New London, WI 54961-2155

Phone

(920) 531-2031

NPI assigned

Oct 3, 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

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.

• Mercy Health System Corporation

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603
  Medicare reassignment NPD
• Mercy Health System Corporation

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550

  Occupational Therapist

  NPD
• Mukwonago Ramily Rehabilitation Clinic, LLC

  • Occupational Therapist
  • Mukwonago, WI
  • NPI 1457420648
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1073608683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-531-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612155",
            "telephone_number": "920-531-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 hwy nn",
            "address_purpose": "LOCATION",
            "city": "mukwonago",
            "state": "WI",
            "postal_code": "53149",
            "country_code": "US",
            "telephone_number": "262-363-3014",
            "fax_number": "262-363-3019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KIMBERLY",
        "middle_name": "ILEANA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3746-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40753300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Honsinger, APNP
• Carrie Hostettler, COTA
• Timothy Houlihan, MD
• Insight Health Associates S.C.
• Integrity Medical Group, S.C.
• Carissa Marie Jaecks, D.C.
• Sherry Lynn Jagiello, OTA
• Deborah Jalling, LAT
• Erika Janssen
• Kathy Jean Jensen, COTA

• Occupational Therapist in New London, WI
• Providers in New London, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.