Jennifer Bast Helenius, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1066-027 Issued in WI

Practice address

422 3Rd St W
Suite 135
Ashland, WI 54806-1573

Phone

(715) 682-0633

Fax

(715) 682-0736

NPI assigned

Apr 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jennifer Lynn Bast Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Treehouse Therapy, LLC

  • Occupational Therapist
  • Ashland, WI
  • NPI 1548568173
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1629242227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 3RD ST W",
            "address_2": "SUITE 135",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061573",
            "telephone_number": "715-682-0633",
            "fax_number": "715-682-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 3RD ST W",
            "address_2": "SUITE 135",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061573",
            "telephone_number": "715-682-0633",
            "fax_number": "715-682-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELENIUS",
        "first_name": "JENNIFER",
        "middle_name": "BAST",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1066-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40889700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BAST",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Patrick Alan Hickman, DC
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• Jack Holevatz, OTR
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• Occupational Therapy Assistant in Ashland, WI
• Providers in Ashland, 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 20, 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.