Jennifer Jastrow, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

747-019 Issued in WI

Practice address

4033 123Rd St
Chippewa Falls, WI 54729-6756

Phone

(715) 831-0106

NPI assigned

Jul 23, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • Home Health Agency
  • Eau Claire, WI
  • NPI 1972521482
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1548425192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 123RD ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 123RD ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296756",
            "telephone_number": "715-831-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTROW",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "747-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabell & Eve Therapeutic Massage LLC
• Maxine Ische, PHARMACIST
• Melissa M Jackson
• Emily S Jaeger, PA-C
• Roger H Jagow, ACSW MSW
• Diane M Jensen
• Tiffany Ann Jensen, LPN
• Beth A Jewell, PA-C
• Kathryn L Johnson, MA, LPC
• Michael Todd Johnson, CMT

• Physical Therapy Assistant in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.