Jessica A. Edelmann, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10413-024 Issued in WI

Practice address

106 2ND Ave W
Ashland, WI 54806-1634

Phone

(715) 685-9656

Fax

(715) 685-9544

NPI assigned

Jul 25, 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

Other identifiers 4

Other names 1

• Jessica A. Schulte Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Orthopedic & Spine Therapy of Poplar SC

  • Physical Therapist
  • Bayfield, WI
  • NPI 1760830103
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1497778278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N PROVIDENCE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138018",
            "telephone_number": "920-257-2009",
            "fax_number": "920-257-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 2ND AVE W",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061634",
            "telephone_number": "715-685-9656",
            "fax_number": "715-685-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMANN",
        "first_name": "JESSICA",
        "middle_name": "A.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10413-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00281530",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40452300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "111200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH/BCBS OF MN",
            "identifier": "484R6ED",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCHULTE",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Vincent Deitzen, APRN, FNP-C
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• Aanders Jarl Dommer, M.D.
• Megan M Douglas, RHD
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• ENT Professional Associates SC
• Ann F Esala, DENTAL HYGIENIST
• Eye Specialist Optical, Inc.
• Eyeglass Shopp LLC

• Physical Therapist in Ashland, WI
• Providers in Ashland, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.