Jean Marie Nagro, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

696019 Issued in WI

Practice address

N64W38192 Lac la Belle Dr
Oconomowoc, WI 53066-1653

Phone

(262) 370-3380

NPI assigned

May 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1356517643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N64W38192 LAC LA BELLE DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530661653",
            "telephone_number": "262-370-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N64W38192 LAC LA BELLE DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530661653",
            "telephone_number": "262-370-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGRO",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "696019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40174100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Michelle Mundy, LPN
• Jenna L Muri, PA
• John W Murphy, MD
• Kelly Muston
• Cynthia Marie Mynatt, R.PH.
• Carrie A Narkis, MD
• Ann C. Neeb, LCSW
• Lyle Norbert Neeb, LCSW
• Neighborhood Smiles of Oconomowoc
• Richard Ervin Neils, MD

• Physical Therapy Assistant in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.