Active NPI
Jilleine Ruth Baker, OTR
- Occupational Therapist
- Columbus, WI
National Provider Identifier
1831113141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1121-026
- Practice address
- 825 Western Ave
Columbus, WI 53925-1675 - Phone
- (920) 623-2520
- NPI assigned
- Jul 27, 2006
- Last updated
- May 2, 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 | 1121-026 | WI | Primary |
Addresses
Primary practice location
825 Western Ave
Columbus, WI 53925-1675
Mailing address
636 Hamilton St
Columbus, WI 53925-1665
Phone (920) 623-4914
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 |
|---|---|---|---|
| 1121-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1831113141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 HAMILTON ST",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539251665",
"telephone_number": "920-623-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 WESTERN AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539251675",
"telephone_number": "920-623-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "JILLEINE",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1121-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, WI
- Leslie Kay Alzuhn-Hansen, MD
- Angels Loving Care, Inc.
- Jennifer L Arendt, RD, CD
- Aurora Dental Hygiene, Inc.
- Gloria Aweke, R.D.
- Brittany Morgan Bayer, RN
- Beaver Dam Community Hosptials Inc ((inactive) Marshfield Medical Center - Beaver Dam Columbus Center)
- James Michael Beck, DDS
- William James Becker, DDS
- Ruth Annette Becraft
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.