Jemalene Dela Cruz, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11193-24 Issued in WI

Practice address

1850 Bowen St
Oshkosh, WI 54901-2356

Phone

(920) 233-4011

NPI assigned

Jun 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1851652952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 BOWEN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BOWEN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012356",
            "telephone_number": "920-233-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "JEMALENE",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11193-24",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24538",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick D Davis, MD
• Laura Elizabeth Day, COTA
• Allen Bee Deaton, DDS
• Ryan Debauche
• Jonathan Joseph Deeslie, H.I.S.
• Jennifer Delfosse
• Sara Amanda Demler, MS, CCC-SLP
• Leona F Dempsey, APNP, PH.D
• Cynthia Mary Dery, LPC
• Ann Elizabeth Dettlaff, APNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.