Active NPI
Jennifer Lynn Thompson, OTR
- Occupational Therapist
- Jackson, WI
National Provider Identifier
1457609174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3347-26
- Practice address
- W210N16531 Woodshire CT
Jackson, WI 53037-9376 - Phone
- (920) 750-5516
- NPI assigned
- Aug 28, 2012
- Last updated
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3347-26 | WI | Primary |
Addresses
Primary practice location
W210N16531 Woodshire CT
Jackson, WI 53037-9376
Mailing address
W210N16531 Woodshire CT
Jackson, WI 53037-9376
Phone (920) 750-5516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3347 | WI | MD | Physical Therapist |
| 3347-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1457609174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W210N16531 WOODSHIRE CT",
"city": "JACKSON",
"state": "WI",
"postal_code": "530379376",
"telephone_number": "920-750-5516",
"fax_number": "262-338-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W210N16531 WOODSHIRE CT",
"city": "JACKSON",
"state": "WI",
"postal_code": "530379376",
"telephone_number": "920-750-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3347-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.