Individual provider Active NPI

Jacob Meleski, DPT

  • Physical Therapist
  • Franklin, WI
National Provider Identifier
1184285744
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14643-24 Issued in WI
Practice address
4202 W Oakwood Park CT Ste 340
Franklin, WI 53132-9118
Phone
(414) 855-2870
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14643-24 WI Primary

Addresses

Primary practice location

4202 W Oakwood Park CT Ste 340
Franklin, WI 53132-9118

Mailing address

4202 W Oakwood Park CT Ste 340
Franklin, WI 53132-9118
Phone (414) 855-2870

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address jmeleski193323@direct.myadvocateaurora.org 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14643WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
14643-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jul 1, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Jul 1, 2022 Accepting new patients

Locations

4202 W Oakwood Park Ct
Unit 340
Franklin, WI 53132
Phone (414) 855-2870

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

9000 W Sura Ln
Milwaukee, WI 53228
Phone (414) 246-6500

7878 N 76th St
Milwaukee, WI 53223
Phone (414) 354-6434

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Organizations & group practices 7

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1184285744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 W OAKWOOD PARK CT STE 340",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329118",
            "telephone_number": "414-855-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 W OAKWOOD PARK CT STE 340",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329118",
            "telephone_number": "414-855-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELESKI",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14643-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4202 W Oakwood Park Ct Ste 340",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531329118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmeleski193323@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4202 W Oakwood Park Ct Ste 340",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531329118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.