Active NPI
Jo Ellen Kesl-Dewees, O.T./L
- Occupational Therapist
- Madison, WI
National Provider Identifier
1215281332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4140-26
- Practice address
- 4537 Stein Ave
Madison, WI 53714-1731 - Phone
- (608) 712-5485
- NPI assigned
- Oct 29, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4140-26 | WI | Primary |
| Occupational Therapist | 225X00000X | 056.004142 | IL |
Addresses
Primary practice location
4537 Stein Ave
Madison, WI 53714-1731
Mailing address
4537 Stein Ave
Madison, WI 53714-1731
Phone (608) 712-5485
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 |
|---|---|---|---|
| 056.004142 | IL | MD | Occupational Therapist |
| 4140-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1215281332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4537 STEIN AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537141731",
"telephone_number": "608-712-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4537 STEIN AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537141731",
"telephone_number": "608-712-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESL-DEWEES",
"first_name": "JO",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "O.T./L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4140-26",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.004142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.