Jessica Anderson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5436-26 Issued in WI

Practice address

1212 Memorial Dr
Ste. 1
Manitowoc, WI 54220

Phone

(920) 652-9554

NPI assigned

Jun 30, 2014

Last updated

Jan 3, 2025By the provider in NPPES

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 WI

Enrollment records 1

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, LLCGroup PAC ID 2062469190, 47 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.05 of 100Reported as group

Quality

88.38

Improvement activities

40

Cost

64.82

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletic & Therapeutic Institute of Milwaukee, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1801907464

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
  • NPI 1558956722

  Occupational Therapist

  NPD
• Athletic & Therapeutic Institute of Milwaukee, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Sheboygan, WI
  • NPI 1578895702
  NPD
• Advanced Orthopaedic Physical Therapy, LLC

  • Physical Therapist
  • Manitowoc, WI
  • NPI 1750573150
  NPD (past)
• Athletic & Therapeutic Institute of Milwaukee, LLC

  dba AT Physical Therapy

  • Physical Therapist
  • Greenfield, WI
  • NPI 1174611313
  NPD (past)

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1336554195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MEMORIAL DR",
            "address_2": "STE. 1",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "54220",
            "telephone_number": "920-652-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JESSICA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5436-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison-Zak LLC
• Douglas P Allison, D.D.S.
• William Alvarez, M.D.
• Steven M Amato, D.D.S., M.S., S.C.
• Jeremy Robert Anclam, D.O.
• Alisha Andrews
• Apple Clinic SC
• Corrin Laurene Applekamp, MS, LPC-IT, SAC-IT
• Amanda Renee Aragon-Gabaldon, M.S., CCC-SLP
• Arbors at Toledo, Inc. (River's Bend Health and Rehabilitation Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.