Joanne Elizabeth Jessen, PT
Individual provider Active NPI Physical Therapist · Mukwonago, WI
NPI 1124880117 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1124880117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2200-24 (WI)
- Practice address
- 240 Maple Ave
Mukwonago, WI 53149-8475 - Phone
- (262) 928-1909
- Fax
- (262) 363-1918
- NPI assigned
- Jan 25, 2024
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2200-24 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2200-24 | WI | Yes |
Addresses
Primary practice location
240 Maple Ave
Mukwonago, WI 53149-8475
Mailing address
N7471 Bay Dr
Elkhorn, WI 53121-2537
Phone (262) 527-7964
Other providers in Mukwonago, WI
- Sue Baird Holmes
- Honor on-Site Clinics
- Debra Marie Hudson
- Diann Louise Ikeler
- Kathy Ann Janisch
- Daniel E. Johnson
- Danika Brianne Johnson
- Sarah Elizabeth Jorgensen
- Joel Lee Kaczinski
- Christine Allison Keller
All providers in Mukwonago, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.