Jared Hutterer, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

14609-24 Issued in WI

Practice address

805 Elm St
Lake Mills, WI 53551-1127

Phone

(920) 648-2400

NPI assigned

Jun 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1083275168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 AUTUMN LEAF LN APT 175",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537048647",
            "telephone_number": "920-629-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ELM ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511127",
            "telephone_number": "920-648-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTERER",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "14609-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sloan Hoover, MS/CCC
• Nathaniel Dean Hoover, PT, DPT
• Danielle Hudson
• Danielle K Hunt, RN
• Heather Mariah Hunt, PHARMD
• Integrative Medical Solutions of Lake Mills LLC
• Jennifer A Jeschke, PT, DPT
• Wendy Sue Kasper
• Kathryn Anne Kidd, PT
• David Kriege, D.D.S

• Physical Medicine & Rehabilitation Physician in Lake Mills, WI
• Providers in Lake Mills, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.