Jennifer Adams
Individual provider Active NPI Physical Therapy Assistant · Madison, WI
NPI 1619310679 · NPPES record last updated Apr 9, 2013
Key facts
- NPI
- 1619310679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1702-19 (WI)
- Practice address
- 4502 Milwaukee St
Madison, WI 53714-2133 - Phone
- (608) 249-2137
- Fax
- (608) 249-7622
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 160.005528 | IL | MD | Physical Therapy Assistant |
| 1702-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1702-19 | WI | Yes |
| Physical Therapy Assistant | 225200000X | 160.005528 | IL |
Addresses
Primary practice location
4502 Milwaukee St
Madison, WI 53714-2133
Mailing address
4502 Milwaukee St
Madison, WI 53714-2133
Phone (608) 249-2137
Other providers in Madison, WI
- Emily Ann Adams
- Emma Adams
- Erica Nicole Adams
- Jacquelyn Hanna Adams
- Jamal Adams
- John Henry Adams Sr.
- Meshan R Adams
- Natasia J Adams
- Sarah Adams
- Sherika Adams
All providers in Madison, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2013. 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.