Jessica Nicole Strupp, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15853-24 Issued in WI

Practice address

3475 Omro Rd Ste 300
Oshkosh, WI 54904-7126

Phone

(920) 786-1964

NPI assigned

Jun 23, 2022

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Achievement Center LLCGroup PAC ID 5294008967, 4 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.

• Physical Achievement Center LLC

  • Physical Therapist
  • Oshkosh, WI
  • NPI 1083136758
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1336870872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 NEW PLAT ST",
            "city": "ALLENTON",
            "state": "WI",
            "postal_code": "530029529",
            "telephone_number": "262-224-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 OMRO RD STE 300",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047126",
            "telephone_number": "920-786-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUPP",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15853-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Stone, SLP
• Paul Stephen Strait, MD
• Lee Michael Stratton, M.D.
• Zachary Strobel, DO
• Elizabeth Strong, LCSW
• Ryan Matthew Strupp
• Dayton P Stumpf, NP
• Melissa Marie Stutzriem, MSPT, CSCS
• Govindaraju Subramani, MD
• Lauren T Sullivan, NP

• Physical Therapist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.