Individual provider Active NPI

Jessie Stori, OTR

  • Occupational Therapist
  • Madison, WI
National Provider Identifier
1366808644
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7136-26 Issued in WI
Practice address
7818 Big Sky Dr Ste 217
Madison, WI 53719-2840
Phone
(608) 709-7070
NPI assigned
Jan 3, 2016
Last updated
Nov 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5212-27 WI
Occupational Therapist 225X00000X 7136-26 WI Primary

Addresses

Primary practice location

7818 Big Sky Dr Ste 217
Madison, WI 53719-2840

Mailing address

7818 Big Sky Dr Ste 217
Madison, WI 53719-2840
Phone (608) 709-7070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119000479 WI Practitioner - Occupational Therapist in Private Practice 4284023813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuum Therapy, Inc.Group PAC ID 0941429344, 4 clinicians

Practice addresses (Care Compare)

7818 Big Sky Dr
Suite 217
Madison, WI 53719-2840
Phone (608) 709-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5212-27WIMDOccupational Therapy Assistant
7136-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Therapy, Inc. Occupational Therapist CurrentSince Nov 14, 2021 Accepting new patients
Common Threads Family Resource Center Occupational Therapist Past Accepting new patients
Catholic Charities, Inc. Roman Catholic Diocese Past Accepting new patients

Locations

7818 Big Sky Dr
Ste 217
Madison, WI 53719
Phone (608) 709-7070

901 Post Rd
Madison, WI 53713
Phone (608) 223-9110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1366808644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192840",
            "telephone_number": "608-709-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192840",
            "telephone_number": "608-709-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORI",
        "first_name": "JESSIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-03",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5212-27",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "7136-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.