Jacey Leann Janz Vernoski
Physical Therapist in Ashland, WI. Individual provider (NPI-1).
NPI number1093058505
StatusActive
Last updated in NPPESMay 17, 2018
Details
- NPI
- 1093058505
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacey Leann Janz Vernoski
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2013
- Last updated
- May 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 14170 | WI | Yes |
| 225200000X | Physical Therapy Assistant | 1997-19 | WI |
Practice location
2201 Lake Shore Dr EAshland, WI 54806
Phone 715-685-6600 · Fax 715-685-6601
Mailing address
2201 Lake Shore Dr EAshland, WI 54806-2331
Phone 715-685-6600 · Fax 715-685-6601
Other practice locations
450 Lake Dr
Mellen, WI 54546-9750
Mellen, WI 54546-9750
Phone 715-274-5706
7700 Grand Ave
Duluth, MN 55807-2154
Duluth, MN 55807-2154
Phone 218-628-9100
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 28 Physical Therapist providers in Ashland · All 449 providers in Ashland
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