Jane Marie Hertel, OTR
Individual provider Active NPI Pediatric Occupational Therapist · Denmark, WI
NPI 1568613461 · NPPES record last updated Oct 9, 2008
Key facts
- NPI
- 1568613461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 1568-026 (WI)
- Practice address
- 5798 S Hwy T
Denmark, WI 54208 - Phone
- (920) 863-6214
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1568-026 | WI | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1568-026 | WI | Yes |
Addresses
Primary practice location
5798 S Hwy T
Denmark, WI 54208
Mailing address
5798 S Hwy T
Denmark, WI 54208-9463
Phone (920) 863-6214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40529100 | Medicaid | WI | |
| 1568-026 | Other | WI | STATE OF WISCONSIN DEPARTMENT OF REGULATION AND LICENSING |
Other providers in Denmark, WI
- Mark John Dehnel
- Denmark Family Dentistry, S.C.
- Denmark Senior Living, Inc.
- Cari L Duffy-Sebero
- Timothy E Hazard
- Deborah Ann Hoffman
- Hospital Dentistry for Kids Inc.
- Dana Marie Hunter
- Jennifer Anne Johnson
- Amber Kapinos
All providers in Denmark, WI · Pediatric Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.