Jennifer Lynn Magestro, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5205-024 Issued in WI

Practice address

12555 W National Ave
New Berlin, WI 53151-4061

Phone

(414) 550-1268

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2226/brand/1/csg/1/fhir/r4

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.

• Chad Novasic PT LTD

  • Physical Therapist
  • Racine, WI
  • NPI 1578679890
  NPD (past)
• Progressive Physical Therapy and Rehab Specialists

  • Physical Therapist
  • Muskego, WI
  • NPI 1427085026
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1215975800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 N REGENT RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532172734",
            "telephone_number": "414-550-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514061",
            "telephone_number": "414-550-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGESTRO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5205-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40337600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enrique W Luy, MD
• Megan Lynch, MD
• Susan Joan Mabrey
• Robert A Mackowski, RPH
• Elisabeth T Madagame, MD
• Rachel Mahoney, LCSW
• Ana Majchrzak
• Erin Michelle Major, M.S., CCC-SLP
• Beth Anne Maki, NP
• Melissa Marie Makovec, BS, HIS

• Physical Therapist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.