Jamin Chilsen, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2002-19 Issued in WI

Practice address

11904 W North Ave
Suite 100
Wauwatosa, WI 53226-2062

Phone

(414) 453-8616

Fax

(414) 453-6150

NPI assigned

Aug 7, 2013

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sport Clinic of Greater Milwaukee

  • Physical Therapist
  • Wauwatosa, WI
  • NPI 1275628208
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1902238355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 W NORTH AVE",
            "address_2": "SUITE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262062",
            "telephone_number": "414-453-8616",
            "fax_number": "414-453-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 W NORTH AVE",
            "address_2": "SUITE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262062",
            "telephone_number": "414-453-8616",
            "fax_number": "414-453-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILSEN",
        "first_name": "JAMIN",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2002-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Medical Group
• Childrens Hospital of Wisconsin
• Childynamics LLC
• Childynamics, LLC
• Childynamics, LLC Health Check Services
• Elizabeth Chirban, LPC-IT
• Patricia K.B. Chirillo, M.S.
• Cheongyol Choe, PHARMACIST
• Yubin Choi
• Ashok C Choithani, M.D.

• Physical Therapy Assistant in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.