Active NPI
Jennifer Lynne Hauer, OTR/L
- Neurorehabilitation Occupational Therapist
- West Allis, WI
National Provider Identifier
1508369216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 6429
- Practice address
- 8901 W Lincoln Ave
West Allis, WI 53227-2409 - Phone
- (414) 328-6000
- Fax
- (414) 328-8172
- NPI assigned
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201009588 | MI | |
| Low Vision Occupational Therapist | 225XL0004X | 6429 | WI | |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 6429 | WI | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 6429 | WI | Primary |
Addresses
Primary practice location
8901 W Lincoln Ave
West Allis, WI 53227-2409
Mailing address
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 328-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6429 | Other | WI | STATE LICENSE |
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 |
|---|---|---|---|
| 5201009588 | MI | MD | Occupational Therapist |
| 6429 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631923200000",
"number": "1508369216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W LINCOLN AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272409",
"telephone_number": "414-328-6000",
"fax_number": "414-328-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W LINCOLN AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272409",
"telephone_number": "414-328-6000",
"fax_number": "414-328-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUER",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2021-09-18",
"certification_date": "2021-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201009588",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "WI",
"license": "6429",
"primary": false
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "WI",
"license": "6429",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "WI",
"license": "6429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6429",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.