Jennifer L Kegley, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3675-026 Issued in WI

Practice address

5219 88TH Ave
Kenosha, WI 53144-7468

Phone

(262) 653-0850

NPI assigned

Jan 5, 2007

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

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.

• Medical Support Services Inc

  • Rehabilitation Clinic/Center
  • Mount Pleasant, WI
  • NPI 1114143781
  NPD
• Tender Touch Therapy LLC

  • Physical Therapist
  • Kenosha, WI
  • NPI 1518026533

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528115839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7218 COLBO RD",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052525",
            "telephone_number": "262-642-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 88TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531447468",
            "telephone_number": "262-653-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGLEY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3675-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40835400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Kaufmann, DPT
• Sonja Anne Kaul, M.S., CCC-SLP
• Nina Kayeum, MD
• Kazas Womens Health Center
• Omar Kazmi, D.O.
• Sarina Keim, NP
• Elias Graham Keith, O.D.
• Kari Kellar, LPC-IT
• Jami Lynn Newcomb Keller
• Madison Kempf, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.