Joleen Tichelaar, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5109 Issued in WI

Practice address

17280 W North Ave
Brookfield, WI 53045-4366

Phone

(262) 780-0707

NPI assigned

Dec 8, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1659779684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16525 NANCY LN",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055165",
            "telephone_number": "618-558-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-780-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICHELAAR",
        "first_name": "JOLEEN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess Thompson
• Tyreek Thompson
• Salice Thongsy
• Milasia Lynn Thornton-Bruno
• Mary Lynn Thorpe, MS CCC SLP
• Cole A Tidemann, PT, DPT
• Morgan Tiedemann
• Gina L Tieman
• Marina Clarice Tierney, PSY.D.
• Shaquilla Tillman Tomlinson

• Occupational Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.