JESSICA MARIE DEGROOT (NPI# 1952838534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952838534 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE DEGROOT |
| Credential | OTR |
| Practice Address |
614 Memorial Dr Chilton WI 53014-1568 |
| Mailing Address |
11 Algoma St Fond Du Lac WI 54935-3601 |
| Practice Telephone | 9208492386 |
| Mailing Telephone | 9209790194 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 6006 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376918136 | Jessica Degroot | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2015-12-04 |
| Street Address |
614 MEMORIAL DR |
| City | CHILTON |
| State | WI |
| Zip Code | 53014-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541748 | Ascension Calumet Hospital, Inc | General Acute Care Hospital | 614 Memorial Dr, Chilton, WI 53014-1568 | 2005-07-11 |
| 1063984250 | Baycare Clinic, LLP | Orthopaedic Surgery | 614 Memorial Dr, Chilton, WI 53014-1568 | 2018-12-28 |
| 1215454566 | Katherine Elizabeth Bieda | Physical Therapist | 614 Memorial Dr, Chilton, WI 53014-1568 | 2017-08-28 |
| 1255865697 | Chee Nou Lee | Family Medicine | 614 Memorial Dr, Chilton, WI 53014-1568 | 2017-04-12 |
| 1265976286 | Tonya Marie Martinez | Nurse Practitioner | 614 Memorial Dr, Chilton, WI 53014-1568 | 2016-12-09 |
| 1962850826 | Pamela Jean Tews | Dietitian, Registered | 614 Memorial Dr, Chilton, WI 53014-1568 | 2016-06-01 |
| 1427405851 | Amanda Michelle Kesler | Specialist/Technologist | 614 Memorial Dr, Chilton, WI 53014-1568 | 2016-05-16 |
| 1033596283 | Angela N Schaefer | Specialist/Technologist | 614 Memorial Dr, Rehabilitation Services, Chilton, WI 53014-1568 | 2015-04-27 |
| 1265799449 | Cynthia Lou Depies | Registered Nurse | 614 Memorial Dr, Chilton, WI 53014-1568 | 2012-04-12 |
| 1730445370 | Ursula Mueller | Registered Nurse | 614 Memorial Dr, Chilton, WI 53014-1568 | 2012-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659696664 | Csj Enterprises, LLC | Reflexologist | N3480 Fox Street, Chilton, WI 53014 | 2010-04-01 |
| 1033367149 | Jennifer L Schreiter Pethan | Physical Therapist | 614 Memorial Drive, Chilton, WI 53014 | 2008-09-03 |
| 1437280799 | Wal-mart Store East Lp | Technician/Technologist | 810 South Irish Road, Chilton, WI 53014 | 2007-03-08 |
| 1194894568 | Corinne Beth Monroe-mayer | Registered Nurse | N 4232 Long Rd, Chilton, WI 53014 | 2006-11-07 |
| 1225000599 | Sherry Ann Pribbernow | Registered Nurse | W2856 St Charles Rd, Chilton, WI 53014 | 2006-02-02 |
| 1073805222 | Forefront Dermatology, S.c. | Dermatology | 451 E Brooklyn St, Ste. 5, Chilton, WI 53014 | 2011-05-06 |
| 1588831739 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 618 Memorial Dr, Chilton, WI 53014 | 2008-05-15 |
| 1972709681 | Debra Ann Rollmann | Registered Nurse | 225 N State St, Chilton, WI 53014 | 2007-06-21 |
| 1346395134 | Sivanandhini Muthiah | Speech-Language Pathologist | 443 Manhattan St, New Hope Center Inc, Chilton, WI 53014 | 2007-01-24 |
| 1417053281 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 618 Memorial Dr, Chilton, WI 53014 | 2006-09-16 |
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| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306917760 | Michelle A Auchue | Occupational Therapist | 443 Manhattan St, Chilton, WI 53014-1565 | 2006-11-09 |
| 1841751583 | Elizabeth Sprout | Occupational Therapist | 533 E Calumet St # 2, Chilton, WI 53014-1649 | 2019-03-26 |
| 1902103914 | Katie Erin Arnold | Occupational Therapist | 614 Memorial Dr, Chilton, WI 53014-1568 | 2011-02-28 |
| 1750684999 | Calumet County | Occupational Therapist | 206 Court St, Chilton, WI 53014-1127 | 2010-12-09 |
| 1316250897 | Laura Runge | Occupational Therapist | 614 Memorial Dr, Chilton, WI 53014-1568 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1063026854 | Kate M Freiburger | Occupational Therapist | 3510 Sandy Hook Rd, Hazel Green, WI 53811-9797 | 2020-08-31 |
| 1245843267 | Kendall Thiry | Occupational Therapist | N2740 French Rd, Freedom, WI 54913-8919 | 2020-08-28 |
| 1336752203 | Dpt Holdings LLC | Occupational Therapist | 1054 Milwaukee Ave Ste 100, Burlington, WI 53105-1381 | 2020-08-28 |
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1477162022 | Stephanie Gloria Deis | Occupational Therapist | 1330 Okeeffe Ave Apt 113, Sun Prairie, WI 53590-4229 | 2020-07-29 |
| 1144844606 | Orthopaedic Centers of Wisconsin, S.c. | Occupational Therapist | 1405 Kenwood Drive Suite B, Wausau, WI 54401-2949 | 2020-06-01 |
| 1881217057 | Orthopedic Therapy Specialists, LLC | Occupational Therapist | 4535 N Habitat Way, Appleton, WI 54913-6727 | 2020-05-22 |
| 1053933051 | Marisa Capobianco | Occupational Therapist | 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406-4402 | 2020-05-12 |
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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.