Jennifer Jean Pitterle
Individual provider Active NPI Occupational Therapy Assistant · Augusta, WI
NPI 1891651105 · NPPES record last updated Dec 30, 2025
Key facts
- NPI
- 1891651105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1546-27 (WI)
- Practice address
- 901 Bridge Creek LN
Augusta, WI 54722-2603 - Phone
- (715) 286-2266
- NPI assigned
- Dec 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1546-27 | WI | Yes |
Addresses
Primary practice location
901 Bridge Creek LN
Augusta, WI 54722-2603
Mailing address
104 N Houghton St
Merrillan, WI 54754-9004
Other practice location 1
13197 church street
Pigeon Falls, WI 54760
Phone (715) 983-2293
Other providers in Augusta, WI
- Robert Sherman Merrill
- Moore Genuine Care, LLC
- Abbi Oium
- Pharmacare LTD
- Pharmacare LTD
- Selena Rick
- Stephanie Rogge
- Jeanne Sackmann
- Gary James Schultz
- Jason Schunk
All providers in Augusta, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.