Lisa Jerz

Individual provider Active NPI Occupational Therapy Assistant · Trevor, WI

NPI 1285584375 · NPPES record last updated Jan 29, 2026

Key facts

NPI
1285584375
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
11230 286TH Ave
Trevor, WI 53179-9756
Phone
(847) 293-4291
NPI assigned
Jan 29, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

11230 286TH Ave
Trevor, WI 53179-9756

Mailing address

11230 286TH Ave
Trevor, WI 53179-9756

Other providers in Trevor, WI

All providers in Trevor, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.