Active NPI
Jennifer A. Skierka, MPT
- Physical Therapist
- Wauwatosa, WI
National Provider Identifier
1356481709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9818-024
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9818-024 | Other | WI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9818-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquette University | Physical Therapist | Current | Accepting new patients |
| Marquette University | Current | 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.
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- Physical Therapist
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- NPI 1396020194
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- Audiologist
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- NPI 1629556592
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- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Internal Medicine Physician
- West Allis, WI
- NPI 1477500361
Physical Therapist
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.