Jessica Karolus
Individual provider Active NPI Occupational Therapist · Cedarburg, WI
NPI 1457993248 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1457993248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 6583-28 (WI)
- Practice address
- W57N517 Hilbert Ave Apt 19
Cedarburg, WI 53012-2046 - Phone
- (708) 465-7739
- NPI assigned
- Oct 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Wisconsin School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aegis Group Practice LLC
Practice addresses (Care Compare)
1330 W Lincoln Ave
Port Washington, WI 53074-2050
Phone (800) 444-6845
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210217001839 | WI | Practitioner - Occupational Therapist in Private Practice | 6103231519 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6583-28 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Occupational Therapist | Current |
Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current |
Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6583-28 | WI | Yes |
Addresses
Primary practice location
W57N517 Hilbert Ave Apt 19
Cedarburg, WI 53012-2046
Mailing address
W57N517 Hilbert Ave Apt 19
Cedarburg, WI 53012-2046
Other providers in Cedarburg, WI
- Julie Chicks, M.D., S.C.
- Jenna Anne Jung
- Jennifer Mae Kaegi
- Casey Jo Kaiser
- Tracy Karabelas
- Tamara Sue Kasper
- Michelle Kastenholz
- Hayly Kennedy
- Diane M Kerkman
- Kettle Moraine Podiatry LLC
All providers in Cedarburg, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.