Jennifer L. Mennicke Anderson
Occupational Therapist, Neurorehabilitation in Madison, WI. Individual provider (NPI-1).
NPI number1831297613
StatusActive
Last updated in NPPESJan 11, 2022
Details
- NPI
- 1831297613
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer L. Mennicke Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2006
- Certification date
- Jan 11, 2022
- Last updated
- Jan 11, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 |
|---|---|---|---|---|
| 225XN1300X | Occupational Therapist, Neurorehabilitation | 3258-026 | WI | Yes |
Practice location
317 Knutson DrMadison, WI 53704-1133
Phone 608-301-9378
Mailing address
317 Knutson DrMadison, WI 53704-1133
Phone 608-228-9341
Is something wrong?
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.
Other Neurorehabilitation Occupational Therapist providers in Madison, WI
- Sandra L GradyNPI 1306867007
- Diane Fay Kahl, OTRNPI 1841382066
- Barbara Sue Koehler, OTRNPI 1750474151
- Michael H McGinnNPI 1811919293
- Peggy A NiedNPI 1811901499
All 6 Neurorehabilitation Occupational Therapist providers in Madison · All 16,750 providers in Madison
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