Jennifer Lynn Kebbekus, MS, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4408 Issued in WI

Practice address

530 N 108TH PL
Wauwatosa, WI 53226-4253

Phone

(414) 727-5552

Fax

(414) 727-5553

NPI assigned

Oct 3, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Wauwatosa Therapies LLC

  • Pediatric Occupational Therapist
  • Wauwatosa, WI
  • NPI 1700198124
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1467546002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-727-5552",
            "fax_number": "414-727-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-727-5552",
            "fax_number": "414-727-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBBEKUS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois C Karnuth, PT
• Julia Marian Kasprzak, M.D.
• Claire Kaufman
• Sarah Kayali, OD
• Michelle Keating, DPT
• Summer Keeler
• Kimberly Melissa Keller, PSY.D.
• Jeanne M Kelley, RN
• Derk Kelly, PT,DPT
• Thomas Kelly, M.D.

• Occupational Therapist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.