Jessica Anderson, OTR
Individual provider Active NPI Occupational Therapist · Manitowoc, WI
NPI 1336554195 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1336554195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5436-26 (WI)
- Practice address
- 1212 Memorial Dr
Ste. 1
Manitowoc, WI 54220 - Phone
- (920) 652-9554
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletic and Therapeutic Institute of Milwaukee, LLC
Practice addresses (Care Compare)
1212 Memorial Dr
Suite 120
Manitowoc, WI 54220-2247
Phone (920) 652-9554
S74W16845 Janesville Rd
Muskego, WI 53150-8618
Phone (262) 971-4200
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.05 of 100
- Quality
- 88.38
- Improvement activities
- 40
- Cost
- 64.82
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150622000862 | WI | Practitioner - Occupational Therapist in Private Practice | 6608187331 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee, LLC | Occupational Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Occupational Therapist | Current |
Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Current |
Accepting new patients | |
| Advanced Orthopaedic Physical Therapy, LLC | Past |
Accepting new patients | |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
2912 S Business Dr
Sheboygan, WI 53081
Phone (920) 803-2179
2809 S Business Dr
Sheboygan, WI 53081
Phone (920) 803-2179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5436-26 | WI | Yes |
Addresses
Primary practice location
1212 Memorial Dr
Ste. 1
Manitowoc, WI 54220
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other providers in Manitowoc, WI
- Allison-Zak LLC
- Douglas P Allison
- William Alvarez
- Steven M Amato
- Jeremy Robert Anclam
- Alisha Andrews
- Apple Clinic SC
- Corrin Laurene Applekamp
- Amanda Renee Aragon-Gabaldon
- Arbors at Toledo, Inc.
All providers in Manitowoc, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.