Individual provider Active NPI

Danielle Loren Jaeger, DPT

  • Physical Therapist
  • Oconomowoc, WI
National Provider Identifier
1669953329
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14047 Issued in WI
Practice address
2195 N Summit Village Way
Oconomowoc, WI 53066-8675
Phone
(262) 567-4662
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14047 WI Primary

Addresses

Primary practice location

2195 N Summit Village Way
Oconomowoc, WI 53066-8675

Mailing address

W148N7736 Menomonee Manor Dr
Menomonee Falls, WI 53051-7324
Phone (262) 527-6446

Other names 1

  • Danielle Jaeger Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723001459 WI Practitioner - Physical Therapist in Private Practice 2365778735 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Aug 5, 2020 Accepting new patients
Oasis Therapy Services LLC Physical Therapist CurrentSince Jul 14, 2023 Accepting new patients
Health in Motion, LLC Physical Therapist CurrentSince Jul 29, 2019 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Aug 5, 2020 Accepting new patients
Health in Motion of Wisconsin, LLC Physical Therapist CurrentSince Jul 29, 2019 Accepting new patients

Locations

8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442

204 N Central Ave
Marshfield, WI 54449
Phone (715) 384-9703

586 Shepard St
Rhinelander, WI 54501
Phone (715) 365-5256

1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207

930 S 17th Ave
Wausau, WI 54401
Phone (715) 870-2225

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1669953329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W148N7736 MENOMONEE MANOR DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517324",
            "telephone_number": "262-527-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 N SUMMIT VILLAGE WAY",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668675",
            "telephone_number": "262-567-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "DANIELLE",
        "middle_name": "LOREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "JAEGER",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.