Clara Jean Jelacic, PT, DPT
Individual provider Active NPI Physical Therapist · Greendale, WI
NPI 1962285577 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1962285577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16489-24 (WI)
- Practice address
- 7711 Freeland CT
Greendale, WI 53129-1658 - Phone
- (414) 210-0088
- Fax
- (414) 509-1630
- NPI assigned
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230912000189 | WI | Practitioner - Physical Therapist in Private Practice | 1951765866 | Reassigns benefits to 11 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16489-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy at Home LLC | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Comprehensive Podiatry Services | Current |
Accepting new patients | |
| MCHS Hospitals, Inc. | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Muslim Community and Health Center of Wisconsin Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients |
Locations
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
803 W Layton Ave
Milwaukee, WI 53221
Phone (414) 253-8330
307 W Layton Ave
Unit 2B
Milwaukee, WI 53207
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16489-24 | WI | Yes |
Addresses
Primary practice location
7711 Freeland CT
Greendale, WI 53129-1658
Mailing address
7711 Freeland CT
Greendale, WI 53129-1658
Phone (414) 210-0088
Other practice location 1
Marshfield Clinic Beaver Dam
707 S University Avenue
Beaver Dam, WI 53916-3027
Phone (920) 887-7181
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Other providers in Greendale, WI
- Terry Michael Hough
- Thea CS Hunter
- Angela M Isotalo
- Cheryl Jackson
- Chenoa James
- Monica A Judge
- Leanne M Kendzierski
- Samantha Rose Khundmiri
- Amanda Nicole Klaeser
- Catherine Elizabeth Klemowits
All providers in Greendale, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.