Jamie Lynn Halleen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14046-24 Issued in WI

Practice address

645 N Church St
Elkhorn, WI 53121-2204

Phone

(262) 741-5577

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Podiatry Services

  • Foot & Ankle Surgery Podiatrist
  • Milwaukee, WI
  • NPI 1134885809
  NPD

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1811402266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 JILLS DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N CHURCH ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212204",
            "telephone_number": "262-741-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEEN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14046-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Guetzkow
• Kelly M Gustavson-Mattek, PSY.D.
• Susan L Guthart, APNP
• Andrea Gutierrez, DDS
• John E Hall
• Tia Handel
• Kathleen D. Hansen, D.C.
• Madelyn Hansen
• Emily Anne Hanson, RN
• Eileen Agnes Harris, RPH

• Physical Therapist in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.