Jennifer Marchert-Eaton, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2643 Issued in WI

Practice address

W239N1812 Rockwood Dr Ste 100
Prohealth Care Medical Associates Inc.
Waukesha, WI 53188-1113

Phone

(262) 523-0310

Fax

(262) 532-9587

NPI assigned

Jun 29, 2006

Last updated

Nov 15, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prohealth Medical Group Inc.

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1356322440
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1942238639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W239N1812 ROCKWOOD DR STE 100",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881113",
            "telephone_number": "262-523-0310",
            "fax_number": "262-532-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W239N1812 ROCKWOOD DR STE 100",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881113",
            "telephone_number": "262-523-0310",
            "fax_number": "262-532-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHERT-EATON",
        "first_name": "JENNIFER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40814400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jane Manske
• Faye E Mansour-Shammo, M.D.
• Lindsay Dawn Mantey, APNP
• Maple Medical SC
• Melissa Marban, MS, LPC-IT
• Anthony Marchlewski, MD
• Judith Ann Maret, LPC
• Margaret Susan Young MD SC
• Abby Margelofsky
• Diego Marin, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.