Active NPI
Jenna Lamay Magsam
- Physical Therapy Assistant
- Oshkosh, WI
National Provider Identifier
1871002469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2650-19
- Practice address
- 1130 N Westfield St
Oshkosh, WI 54902-3217 - Phone
- (928) 233-2340
- NPI assigned
- Sep 26, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2650-19 | WI | Primary |
Addresses
Primary practice location
1130 N Westfield St
Oshkosh, WI 54902-3217
Mailing address
2825 Woodlane Dr
Woodbury, MN 55125-2906
Phone (651) 202-0222
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 |
|---|---|---|---|
| 2650-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693008000000",
"number": "1871002469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 WOODLANE DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252906",
"telephone_number": "651-202-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N WESTFIELD ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549023217",
"telephone_number": "928-233-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGSAM",
"first_name": "JENNA",
"middle_name": "LAMAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2023-08-26",
"certification_date": "2023-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "2650-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.