Individual provider Active NPI

Jennifer A. Skierka, MPT

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1356481709
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9818-024 Issued in WI
Practice address
2500 N Mayfair Rd
Suite 480
Wauwatosa, WI 53226-1409
Phone
(414) 475-6043
Fax
(414) 475-6098
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9818-024 WI Primary

Addresses

Primary practice location

2500 N Mayfair Rd
Suite 480
Wauwatosa, WI 53226-1409

Mailing address

5005 Newport Dr
Suite 401
Rolling Meadows, IL 60008-3832
Phone (847) 797-1050

Other identifiers 1

IdentifierTypeStateIssuer
9818-024OtherWISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818001099 WI Practitioner - Physical Therapist in Private Practice 4486684479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marquette UniversityGroup PAC ID 0648221028, 15 clinicians

Practice addresses (Care Compare)

604 N 16TH St
RM 215
Milwaukee, WI 53233-2117
Phone (414) 288-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9818-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marquette University Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
Marquette University CurrentSince Nov 3, 2025 Accepting new patients
Commonwealth Medical Group, LLC Physical Therapist Past Accepting new patients
Aurora Advanced Healthcare Inc Past Accepting new patients

Locations

604 N 16th St
#215
Milwaukee, WI 53233
Phone (414) 288-1400

604 N 16th St
Rm 215
Milwaukee, WI 53233
Phone (414) 288-1400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1356481709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 NEWPORT DR",
            "address_2": "SUITE 401",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083832",
            "telephone_number": "847-797-1050",
            "fax_number": "847-797-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 480",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-475-6043",
            "fax_number": "414-475-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIERKA",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9818-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9818-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.