Jessica Jo Van Schyndel, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4677-26 Issued in WI

Practice address

900 Matthew LN
Kaukauna, WI 54130-3889

Phone

(920) 470-5353

NPI assigned

May 8, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jessica Jo Butteris Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Deforest, WI
  • NPI 1073912119
  Medicare reassignment NPD

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1992939698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MATTHEW LN",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303889",
            "telephone_number": "920-470-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MATTHEW LN",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303889",
            "telephone_number": "920-470-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCHYNDEL",
        "first_name": "JESSICA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4677-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992939698",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BUTTERIS",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunrise Care Homes
• Karen Teutschmann
• Gaosheng Thao
• The Doc at Your Door,LLC
• Kasey Trunk
• Kathleen S Van Zeeland, MS,CCC-SLP
• Molly Vande Wettering
• Travis Edward Vanden Heuvel, LPN
• David G Vanderloop II, O.D.
• Morgan L Vanderloop, LPC

• Occupational Therapist in Kaukauna, WI
• Providers in Kaukauna, 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 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.