Individual provider Active NPI

Jennifer A Priem, PT

  • Physical Therapist
  • Eau Claire, WI
National Provider Identifier
1538314596
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5242024 Issued in WI
Practice address
816 Porter Ave
Eau Claire, WI 54701-3813
Phone
(715) 832-1591
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5242024 WI Primary

Addresses

Primary practice location

816 Porter Ave
Eau Claire, WI 54701-3813

Mailing address

4224 Pine Meadow Dr
Eau Claire, WI 54701-1903
Phone (715) 832-9466

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

LicenseStateTypeSpecialty
5242024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Physical Therapy, Inc Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

1731 17th Ave
Bloomer, WI 54724
Phone (715) 568-4669

110 Park Dr
Ste 100
Colfax, WI 54730
Phone (715) 568-4669

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1538314596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 PINE MEADOW DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547011903",
            "telephone_number": "715-832-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 PORTER AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013813",
            "telephone_number": "715-832-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEM",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5242024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.