Jessica M. Hoinacki, DPT

Individual provider Active NPI Physical Therapist · Berlin, WI

NPI 1093963019 · NPPES record last updated Jan 7, 2025

Key facts

NPI
1093963019
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
15164 (WI)
Practice address
W2342 Puchyan Rd
Berlin, WI 54923-9486
Phone
(920) 361-1608
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
15164WIMDPhysical Therapist
33251CAMDGeriatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 33251 CA
Physical Therapist 225100000X 15164 WI Yes

Addresses

Primary practice location

W2342 Puchyan Rd
Berlin, WI 54923-9486

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900

Other identifiers

IdentifierTypeStateIssuer
33251OtherCASTATE OF CALIFORNIA

Other providers in Berlin, WI

All providers in Berlin, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.