Ann V. John, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1166 Issued in WI

Practice address

4922 Columbia Rd
Cedarburg, WI 53012-9188

Phone

(262) 377-4077

Fax

(262) 377-7358

NPI assigned

Oct 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sport Clinic Physical Therapy IncGroup PAC ID 0244285187, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sport Clinic Physical Therapy Inc

  • Physical Therapist
  • Bayside, WI
  • NPI 1912918475
  Medicare reassignment Care Compare group
• Midwest Orthopedic Specialty Hospital, LLC

  • Orthopaedic Surgery Physician
  • Franklin, WI
  • NPI 1275127375
  Medicare reassignment NPD
• Midwest Orthopedic Specialty Hospital, LLC

  • Rehabilitation Clinic/Center
  • Milwaukee, WI
  • NPI 1407508567
  NPD
• Midwest Orthopedic Specialty Hospital, LLC

  • Durable Medical Equipment & Medical Supplies
  • Muskego, WI
  • NPI 1962238113
  NPD

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1285823161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 COLUMBIA RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129188",
            "telephone_number": "262-377-4077",
            "fax_number": "262-377-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 COLUMBIA RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129188",
            "telephone_number": "262-377-4077",
            "fax_number": "262-377-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ANN",
        "middle_name": "V.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1166",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "WI",
            "license": "1166",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WI",
            "license": "1166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "41213500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40643000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP BILLING NUMBER",
            "identifier": "391550272010",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime D. Cabatingan, M.D.,S.C.
• Kimberly Marie Janecek, APNP
• Janice Alexander RN, MD,SC
• John Richard Jankowski, R.PH.
• Angela Marie Jiracek, PTA
• Alan L Johnson, DC
• Evelyn - Johnson, PTA
• Cara Jones, PT, DPT
• Kaylynn Julia Jones, APNP
• Kelly Elizabeth Jones

• Occupational Therapist in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.