Active NPI
Jade Rockweiler, OTR
- Occupational Therapist
- Reedsburg, WI
National Provider Identifier
1144955394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6566-26
- Practice address
- 2000 N Dewey Ave
Reedsburg, WI 53959-1049 - Phone
- (608) 768-6243
- NPI assigned
- Jul 21, 2022
- Sex
- Female
- 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 | 6566-26 | WI | Primary |
Addresses
Primary practice location
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Mailing address
2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 768-6243
Other names 1
- Jade Clement
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EPIC | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6566-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144955394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N DEWEY AVE",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539591049",
"telephone_number": "608-768-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N DEWEY AVE",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539591049",
"telephone_number": "608-768-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWEILER",
"first_name": "JADE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6566-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPIC",
"affiliation": "N",
"endpointDescription": "EHR system",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2000 N Dewey Ave",
"city": "Reedsburg",
"state": "WI",
"country_code": "US",
"postal_code": "539591049",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JADE",
"last_name": "CLEMENT",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reedsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.