Jennifer A Jeschke, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10198024 Issued in WI

Practice address

805 Elm St
Lake Mills, WI 53551-1127

Phone

(920) 648-2400

Fax

(920) 648-2444

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Optimal Physical Therapy LLCGroup PAC ID 6608894290, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Optimal Physical Therapy, LLC

  • Physical Therapist
  • Lake Mills, WI
  • NPI 1508887464
  Medicare reassignment Care Compare group NPD
• Aadvantage Behavioral Healthcare, LLC

  • Clinical Social Worker
  • Lake Mills, WI
  • NPI 1669602488
  NPD (past)
• Christopher James Kroll LLC

  • Chiropractor
  • Lake Mills, WI
  • NPI 1255490108
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1609898717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ELM ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511127",
            "telephone_number": "920-648-2400",
            "fax_number": "920-648-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 ELM ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511127",
            "telephone_number": "920-648-2400",
            "fax_number": "920-648-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESCHKE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10198-24",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WI",
            "license": "10198024",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WI",
            "license": "10198024",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "10198024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10198024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40431100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Hudson
• Danielle K Hunt, RN
• Heather Mariah Hunt, PHARMD
• Jared Hutterer, PT, DPT
• Integrative Medical Solutions of Lake Mills LLC
• Wendy Sue Kasper
• Kathryn Anne Kidd, PT
• David Kriege, D.D.S
• Christopher James Kroll, D.C.
• KW Lake Mills LLC

• Physical Therapist in Lake Mills, WI
• Providers in Lake Mills, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.