Jodi Kittel, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12947-24 Issued in WI

Practice address

106 W Silver Spring Dr
Whitefish Bay, WI 53217-4736

Phone

(414) 831-0660

Fax

(414) 967-4736

NPI assigned

Feb 12, 2007

Last updated

May 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jodi Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Rehabilitation Clinics, Inc

  • Physical Therapy Clinic/Center
  • Oak Brook, IL
  • NPI 1356394852

  Physical Therapist

  NPD (past)
• Athletic and Therapeutic Institute of Naperville, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Willowbrook, IL
  • NPI 1144331794
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1669514402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W SILVER SPRING DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532174736",
            "telephone_number": "414-831-0660",
            "fax_number": "414-967-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTEL",
        "first_name": "JODI",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011279",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12947-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "LEWIS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan a Moore MD SC
• Lindsay Louise Kelly, PA-C
• Chantry R Ketterhagen
• Alexis Killian, M.S., CCC-SLP
• John Andrew Kim, DO
• Ann Marie Clare Klimas, R.N.
• Cole Klotz
• Katy Kujala-Korpela
• Laura Kunkel
• Gordon Edward Lang, MD

• Physical Therapist in Whitefish Bay, WI
• Providers in Whitefish Bay, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.