Active NPI
Jill M North
- Occupational Therapist
- Franklin, WI
National Provider Identifier
1700021763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 687-026
- Practice address
- 3111 W Rawson Ave
Suite 215
Franklin, WI 53132-9417 - Phone
- (414) 761-0727
- NPI assigned
- Dec 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 687-026 | WI | Primary |
Addresses
Primary practice location
3111 W Rawson Ave
Suite 215
Franklin, WI 53132-9417
Mailing address
24014 W Renwick Rd
Ste F
Plainfield, IL 60544-8708
Phone (800) 974-4378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700021763 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1700021763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24014 W RENWICK RD",
"address_2": "STE F",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605448708",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 W RAWSON AVE",
"address_2": "SUITE 215",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329417",
"telephone_number": "414-761-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTH",
"first_name": "JILL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-04",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "687-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700021763",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.