Active NPI
Jennifer L Norris, PT, DPT
- Physical Therapist
- Burlington, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15781-24
- Practice address
- 1054 Milwaukee Ave Ste 100
Burlington, WI 53105-1381 - Phone
- (800) 974-4378
- Fax
- (630) 515-1536
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15781-24 | WI | Primary |
Addresses
Primary practice location
1054 Milwaukee Ave Ste 100
Burlington, WI 53105-1381
Mailing address
24014 W Renwick Rd Ste F
Plainfield, IL 60544-8708
Phone (800) 974-4378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1054 Milwaukee Ave
Suite 200
Burlington, WI 53105-1382
Phone (800) 974-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15781-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
| DPT Holdings LLC | Current | Accepting new patients |
Locations
24014 W Renwick Rd
Ste F
Plainfield, IL 60544
Phone (815) 577-2488
1054 Milwaukee Ave
Ste 100
Burlington, WI 53105
1054 Milwaukee Ave
Ste 200
Burlington, WI 53105
Phone 8009744378 ext. 1829
3825 39th Ave
Ste 110
Kenosha, WI 53144
Phone (262) 605-6810
Organizations & group practices 2
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.
-
- Occupational Therapist
- Burlington, WI
- NPI 1336752203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1619616315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24014 W RENWICK RD STE F",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448708",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 MILWAUKEE AVE STE 100",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051381",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15781-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.