JAZIMINE ELLIS (NPI# 1851798615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851798615 |
| Entity Type | Individual |
| Full Name | JAZIMINE ELLIS |
| Practice Address |
2222 S 114th St West Allis WI 53227-1031 |
| Practice Telephone | 4144494444 |
| Mailing Telephone | 4144494444 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2222 S 114TH ST |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397869 | Easter Seals Southeast Wisconsin Inc | Occupational Therapist | 2222 S 114th St, West Allis, WI 53227-1031 | 2005-12-22 |
| 1215461900 | Jessica Wilson | Behavioral Analyst | 2222 S 114th St, West Allis, WI 53227-1031 | 2017-04-19 |
| 1396104287 | Cecily Conard | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-02-19 |
| 1912366121 | Matthew Francisco Martinez | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-02-16 |
| 1700244225 | Ericka Hawke | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-01-29 |
| 1184099640 | Andrea Cappelli | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-09 |
| 1922473453 | Amanda Hernandez | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-09 |
| 1316312176 | Craig Coleman | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-04 |
| 1053786822 | Angelina Marie Thieme-house | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-04 |
| 1710351291 | Madeline Elizabeth Labecki | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396104287 | Cecily Conard | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-02-19 |
| 1912366121 | Matthew Francisco Martinez | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-02-16 |
| 1700244225 | Ericka Hawke | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2016-01-29 |
| 1184099640 | Andrea Cappelli | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-09 |
| 1922473453 | Amanda Hernandez | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-09 |
| 1316312176 | Craig Coleman | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-04 |
| 1053786822 | Angelina Marie Thieme-house | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-12-04 |
| 1710351291 | Madeline Elizabeth Labecki | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-11-20 |
| 1487020061 | Jessica Finch | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-08-18 |
| 1194100313 | Alyssa Mane | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-07-29 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
Please comment or provide details below to improve the information on JAZIMINE ELLIS.
| 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.