Active NPI
Jenna Wyss
- Occupational Therapy Assistant
- Elroy, WI
National Provider Identifier
1770098352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5468-27
- Practice address
- 307 Royall Ave
Elroy, WI 53929-1044 - Phone
- (608) 462-8491
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 5468-27 | WI | Primary |
Addresses
Primary practice location
307 Royall Ave
Elroy, WI 53929-1044
Mailing address
307 Royall Ave
Elroy, WI 53929-1044
Other practice location 1
1051 Clark St
Reedsburg, WI 53959-2321
Phone (608) 524-7500
Other names 1
- Jenna Richardson
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5468-27 | WI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1770098352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 ROYALL AVE",
"city": "ELROY",
"state": "WI",
"postal_code": "539291044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 ROYALL AVE",
"city": "ELROY",
"state": "WI",
"postal_code": "539291044",
"telephone_number": "608-462-8491"
}
],
"practiceLocations": [
{
"address_1": "1051 Clark St",
"address_purpose": "LOCATION",
"city": "Reedsburg",
"state": "WI",
"postal_code": "539592321",
"country_code": "US",
"telephone_number": "608-524-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYSS",
"first_name": "JENNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "5468-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "RICHARDSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elroy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.