Individual provider Active NPI

Emily Jewulski

  • Physical Therapist
  • St Francis, WI
National Provider Identifier
1730719592
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15395-24 Issued in WI
Practice address
2500 E Howard Ave
St Francis, WI 53235-4114
Phone
(414) 489-1400
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 15395-24 WI Primary

Addresses

Primary practice location

2500 E Howard Ave
St Francis, WI 53235-4114

Mailing address

2773 N 72ND St
Milwaukee, WI 53210-1104
Phone (630) 945-4322

Other practice location 1

900 N 92nd St
Milwaukee, WI 53226-1202
Phone (414) 805-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250127000629 WI Practitioner - Physician Assistant 5496284036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

1111 E Capitol Dr
Shorewood, WI 53211-1810
Phone (414) 312-8146

2500 E Howard Ave
St Francis, WI 53235-4114
Phone (414) 489-1400

6600 River Pkwy
Wauwatosa, WI 53213-3292
Phone (414) 476-8787

9200 W Layton Ave
Greenfield, WI 53228-3348
Phone (414) 425-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15395-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1730719592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 N 72ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101104",
            "telephone_number": "630-945-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HOWARD AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532354114",
            "telephone_number": "414-489-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N 92nd St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532261202",
            "country_code": "US",
            "telephone_number": "414-805-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWULSKI",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15395-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Francis, WI

Sources for this page

Verify at the official NPI Registry.