Jennifer Bluske, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3248-026 Issued in WI

Practice address

639 Struck St
Madison, WI 53719-1383

Phone

(608) 234-5990

Fax

(608) 234-5990

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Krull Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children'S Therapy Network

  • Occupational Therapist
  • Madison, WI
  • NPI 1780917880
  NPD Authorized official
• Thriving Parent'S Collective

  • Health & Wellness Coach
  • Middleton, WI
  • NPI 1720950421
  NPD Authorized official

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1528024767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 STRUCK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191383",
            "telephone_number": "608-234-5990",
            "fax_number": "608-234-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 STRUCK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191383",
            "telephone_number": "608-234-5990",
            "fax_number": "608-234-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Ellis Potter Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537112478",
            "country_code": "US",
            "telephone_number": "608-234-5990",
            "fax_number": "608-234-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUSKE",
        "first_name": "JENNIFER",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3248-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40817600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KRULL",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Blum
• Samuel Blum, PT
• David E. Blume, M.D.
• Kylie Blume, MD
• Zoe Louise Blumenthal, MD
• Joseph N Blustein, M.D., MPH
• Kelly Ann Boado
• Jaclyn S Boardman, RD
• Krystal J Boardman, RNNP
• Matthew J. Boardman, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.