Jenna Packer, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7040-26 Issued in WI

Practice address

1000 Midway Rd
Menasha, WI 54952-1116

Phone

(920) 257-2000

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

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

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Spine Therapy of Menasha SCGroup PAC ID 8123923869, 20 clinicians

Orthopedic and Spine Therapy of Brillion, SCGroup PAC ID 7416945688, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Orthopedic & Spine Therapy of Brillion, SC

  • Physical Therapist
  • Manitowoc, WI
  • NPI 1154368843
  Medicare reassignment Care Compare group NPD
• Orthopedic and Spine Therapy of Menasha SC

  • Physical Therapist
  • Kaukauna, WI
  • NPI 1831260611
  Medicare reassignment Care Compare group NPD
• Orthopedic & Spine Therapy of Clintonville, SC

  • Physical Therapist
  • Clintonville, WI
  • NPI 1528172988
  Medicare reassignment NPD
• Orthopedic & Spine Therapy of Green Bay, SC

  • Physical Therapist
  • De Pere, WI
  • NPI 1558477307
  Medicare reassignment NPD
• Orthopedic & Spine Therapy of Lakewood, SC

  • Physical Therapist
  • Lakewood, WI
  • NPI 1023338506
  Medicare reassignment NPD
• Orthopedic & Spine Therapy of New London, SC

  • Physical Therapy Clinic/Center
  • New London, WI
  • NPI 1437187135
  Medicare reassignment NPD
• Orthopedic & Spine Therapy of Oshkosh SC

  • Physical Therapist
  • Oshkosh, WI
  • NPI 1952418816
  Medicare reassignment NPD
• Orthopedic & Spine Therapy of Waupaca SC

  • Physical Therapist
  • Waupaca, WI
  • NPI 1548298284
  Medicare reassignment NPD
• Orthopedic & Spine Therapy of

  • Physical Therapist
  • Brillion, WI
  • NPI 1811920887
  NPD
• Orthopedic & Spine Therapy of Clintonville, SC

  • Physical Therapist
  • Shawano, WI
  • NPI 1821105354
  NPD
• Orthopedic & Spine Therapy of Green Bay SC

  • Physical Therapist
  • De Pere, WI
  • NPI 1033588579
  NPD
• Orthopedic & Spine Therapy of Menasha SC

  • Physical Therapist
  • Menasha, WI
  • NPI 1205863602
  NPD

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1902639610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521116",
            "telephone_number": "920-257-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521116",
            "telephone_number": "920-257-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "JENNA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "7040-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly S Oosterhous, MSE
• Oral Surgery Associates of Wisconsin, S.C.
• Orthopedic & Spine Therapy of Menasha SC
• Orthopedic & Spine Therapy of Menasha, SC
• Kristen E Owens, MA,LPC
• Noelle R Pannebaker, LPC
• Carrissa Pannuzzo, M.A.
• Suzanne Parker
• Kent L Partain, MD
• Laura Mae Paske, SAC

• Occupational Therapist in Menasha, WI
• Providers in Menasha, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.