Deborah A McKernan-Ace, MOT/OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

4565-26 Issued in WI

Practice address

2209 Leslie Rd
Stoughton, WI 53589-4328

Phone

(608) 877-4337

NPI assigned

Nov 19, 2007

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

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.

• Aspire Therapy and Development Services

  • Speech-Language Pathologist
  • Verona, WI
  • NPI 1932594512
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1447431341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 LESLIE RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535894328",
            "telephone_number": "608-877-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 LESLIE RD",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535894328",
            "telephone_number": "608-877-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKERNAN-ACE",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MOT/OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "4565-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen McCroary, PT,DPT
• Samantha McFarland, MSW, BSW, SAC-IT
• McGlynn Pharmacy Inc.
• Daniel D McGlynn, RPH
• Lynn Rulien McKenzie, M.S.
• Benjamin Meinking, DPT
• Leslie Carole Metz, RN
• MH Health Care Services, PC
• Brenda D. Milbrath, P.T.
• Jonathan Milton, APNP, ACCNS-AG

• Specialist in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.