Jennifer Wisniewski, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12414 Issued in MA

Practice address

17 Berwick Rd
Medford, MA 02155-6017

Phone

(937) 830-7001

NPI assigned

Jun 27, 2018

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

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mab Community Services IncGroup PAC ID 3870570070, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mab Community Services, Inc

  • Rehabilitation Practitioner
  • Worcester, MA
  • NPI 1821129982

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Visions of Independence, LLC

  • Occupational Therapist
  • Sharon, MA
  • NPI 1992751457
  Medicare reassignment NPD

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1265927784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BERWICK RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556017",
            "telephone_number": "937-830-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BERWICK RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556017",
            "telephone_number": "937-830-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "12414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winchester Wound Care Specialists PLLC
• Marymargaret Winter, R.N.B.A.
• Winthrop House Senior Services, LLC (Brighten at Medford)
• Peter D Wisdom
• Julia Dennon Wise, LICSW
• Mary Wisniewski, MSW
• Alan B Witkower, EDD
• Woburn Street Dental, PC
• Sandra L Wolosenko, L.I.C.S.W
• Tony Woo, DDS

• Occupational Therapist in Medford, MA
• Providers in Medford, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.