Jolene Marie Herlitzke-Foss, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2063-27 Issued in WI

Practice address

E7404A County Road BB
Viroqua, WI 54665-7502

Phone

(608) 637-5422

NPI assigned

Dec 5, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1598033680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5116 GREEN COULEE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E7404A COUNTY ROAD BB",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546657502",
            "telephone_number": "608-637-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLITZKE-FOSS",
        "first_name": "JOLENE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "2063-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melony Ann Hansen, CSW, SAC-IT
• Gregg R Henckel, DDS
• Rachel Hendricks, COTA
• Elizabeth Hendrickson, OTR
• Madeleine Brooke Hepperlen, DPT
• Grant Gentry Hicks, L.AC.
• Richard Hobin II, C.O.T.A.
• Heather Hoene
• Dawn Hoff, M.S., RCEP, CES
• Roxane Lynn Holm, PMHNP

• Occupational Therapy Assistant in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.