Kristy Lynn Jaeger, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

257-019 Issued in WI

Practice address

920 State St
Manitowoc, WI 54220-4038

Phone

(920) 683-1900

Fax

(920) 683-1907

NPI assigned

Oct 31, 2008

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

Other names 1

• Kristy Herrmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aurora Health Care North, Inc.

  • General Acute Care Hospital
  • Two Rivers, WI
  • NPI 1477508687
  NPD (past)
• Orthopaedic Associates of Manitowoc LTD

  • Specialist
  • Manitowoc, WI
  • NPI 1760648885
  NPD (past)

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1366695587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MEMORIAL DRIVE",
            "address_2": "AURORA MEDICAL CENTER OF MANITOWOC COUNTY",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "54241",
            "telephone_number": "920-794-5000",
            "fax_number": "920-793-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STATE ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204038",
            "telephone_number": "920-683-1900",
            "fax_number": "920-683-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "257-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "HERRMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelli Ann Hutchens, M.D.
• Wendy Hutterer
• Kim Hynek
• Kristi Anne Irving, MA, LPC, LCPC
• Gregory Shoichi Ishimoto, M.D.
• Jaki Jahnke
• Erica Ann Helein Jansky, MS-CCC-SLP
• Scott Janus, M.D.
• Jennifer Jelenic, LCSW
• Clarissa Jelinek

• Physical Therapy Assistant in Manitowoc, WI
• Providers in Manitowoc, 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 Dec 6, 2013; 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.