Active NPI
Jerry Jon Trefz, OTR/L
- Occupational Therapist
- Waverly, IA
National Provider Identifier
1124805296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001822
- Practice address
- 217 E Bremer Ave
Waverly, IA 50677-3435 - Phone
- (319) 352-4544
- Fax
- (319) 352-4655
- NPI assigned
- Sep 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001822 | IA | Primary |
Addresses
Primary practice location
217 E Bremer Ave
Waverly, IA 50677-3435
Mailing address
217 E Bremer Ave
Waverly, IA 50677-3435
Phone (319) 352-4544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240529000620 | IA | Practitioner - Occupational Therapist in Private Practice | 1951743566 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001822 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab OT Ia LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1124805296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E BREMER AVE",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506773435",
"telephone_number": "319-352-4544",
"fax_number": "319-352-4655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E BREMER AVE",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506773435",
"telephone_number": "319-352-4544",
"fax_number": "319-352-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREFZ",
"first_name": "JERRY",
"middle_name": "JON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "001822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.