Jennifer Pogodzinski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11033-24 Issued in WI

Practice address

975 N. Port Washington Avenue
Grafton, WI 53024

Phone

(262) 329-2731

NPI assigned

Sep 1, 2016

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jpogodzinski10438@direct.myadvocateaurora.org

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1639626260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W168N4978 STONEFIELD RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516683",
            "telephone_number": "262-329-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N. PORT WASHINGTON AVENUE",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "53024",
            "telephone_number": "262-329-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGODZINSKI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11033-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "975 N. Port Washington Avenue",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpogodzinski10438@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "975 N. Port Washington Avenue",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William F. Petzke, RPH
• Kate Pezanoski
• Jonathan M Pfeilstifter, PA-C
• Paul Stephen Pienkos, M.D.
• Chaya Mushka Pinson
• Diana Pogoriler, MS, LPC
• Peter J Polewski, MD
• Kaylee Lynn Popp, FNP-C
• Christopher David Potter, DPT
• Megan Potter, DPT

• Physical Therapist in Grafton, WI
• Providers in Grafton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.