JESSICA LYNN GRIMM (NPI# 1598089211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598089211 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN GRIMM |
| Credential | DPT |
| Practice Address |
12800 N Lake Shore Dr Mequon WI 53097 |
| Mailing Address |
12800 N Lake Shore Dr Mequon WI 53097-2418 |
| Practice Telephone | 2622434498 |
| Mailing Telephone | 2622434498 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2018-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11311-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969089 | Jessica Lynn Grimm | Social Worker | 5230 E 100th St, Garfield Heights, OH 44125-2402 | 2019-09-03 |
| 1528555810 | Jessica Grimm | Social Worker | 2001 E Market St, York, PA 17402-2841 | 2018-04-23 |
| 1922460476 | Jessica Grimm | Counselor | 911 E Hwy 377, Granbury, TX 76048-1242 | 2016-03-23 |
| 1003227091 | Jessica Grimm | Registered Nurse | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2014-05-13 |
| 1699103671 | Jessica Leanne Grimm | Nurse Practitioner | 10120 S Eastern Ave, Suite 120, Henderson, NV 89052-3951 | 2013-10-29 |
| 1356776991 | Jessica Leigh Grimm | Clinic/Center | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2013-09-12 |
| 1407858962 | Jessica Jean Grimm | Optometrist | 221 3rd St W, Randolph A F B, TX 78150-4800 | 2005-08-15 |
| Street Address |
12800 N LAKE SHORE DR |
| City | MEQUON |
| State | WI |
| Zip Code | 53097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174636328 | Kemery Jean Sigmund | Specialist/Technologist | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2006-08-15 |
| 1578112520 | Nicole Angela Weber | Student in an Organized Health Care Education/Training Program | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2019-09-11 |
| 1497307649 | Brian Lentz | Specialist/Technologist | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2019-07-09 |
| 1811559131 | Lauren Nikolai | Specialist/Technologist | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2019-07-08 |
| 1962974030 | April F Gotzler | Specialist/Technologist | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2018-12-29 |
| 1518439843 | Concordia University, Inc | General Practice | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2018-12-27 |
| 1497227185 | Nicole Reith | Specialist/Technologist | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2018-12-19 |
| 1376033126 | Samuel David Gjerset Vandehaar | Specialist/Technologist | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2018-05-17 |
| 1104315050 | Mitchell Edward Mleziva | Specialist/Technologist | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2018-05-07 |
| 1265920003 | Briana Devon Gratz | Student in an Organized Health Care Education/Training Program | 12800 N Lake Shore Dr, Mequon, WI 53097-2418 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1538103643 | Elizabeth Gral Sullivan | Speech-Language Pathologist | 13111 North Port Washington Road, Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1487902367 | Mary Alice Hanneken | Physical Therapist | 1516 W. Mequon Rd, Ste 201, Mequon, WI 53012-3264 | 2012-08-26 |
| 1467717033 | Isaac Petrowitz | Physical Therapist | 10945 N Port Washington Rd Ste 208, Mequon, WI 53092-5078 | 2012-07-10 |
| 1841520442 | Andrew John Starsky | Physical Therapist | 11339 N Glenwood Dr, Mequon, WI 53097-3113 | 2010-01-04 |
| 1679708580 | Katie Anne Marcouiller | Physical Therapist | 10590 N Port Washington Rd, Mequon, WI 53092-5537 | 2009-05-20 |
| 1093985608 | Sara Sue Ebel | Physical Therapist | 1486 W Mequon Rd, Mequon, WI 53092-3268 | 2008-03-11 |
| 1063612067 | Form & Fitness | Physical Therapist | 11053 N Port Washington Rd, Mequon, WI 53092-5032 | 2007-07-19 |
| 1629287198 | Jaclyn Kay Warshauer | Physical Therapist | 8010 W Evergreen Rd, Mequon, WI 53097-3010 | 2007-05-22 |
| 1154534980 | Kristin M Hinterstocker | Physical Therapist | 6028 W Mequon Rd Ste 100, Mequon, WI 53092 | 2007-05-08 |
| 1457402158 | Robert Hobart Corby | Physical Therapist | 1516 W Mequon Rd Ste 201, Mequon, WI 53092-3264 | 2007-01-16 |
| Find all providers in MEQUON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.