JENNIFER KAY GUNDERSON (NPI# 1508904376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508904376 |
| Entity Type | Individual |
| Full Name | JENNIFER KAY GUNDERSON |
| Credential | PT |
| Practice Address |
1486 West Mequon Rd Mequon WI 53092 |
| Mailing Address |
W64n332 Madison Ave Cedarburg WI 53012-2331 |
| Practice Telephone | 2622418030 |
| Practice Fax Number | 2622418304 |
| Mailing Telephone | 6084694231 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2009-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
10563-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407403991 | Jennifer Nicole Gunderson | Speech-Language Pathologist | Bayada, 3419a Melrose Rd., Fayetteville, NC 28306-2830 | 2019-08-20 |
| 1205060696 | Jennifer Mae Gunderson | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2009-05-13 |
| 1477733194 | Jennifer Diane Gunderson | Social Worker | 1955 W Frye Rd, Chandler, AZ 85224-6282 | 2007-11-09 |
| Street Address |
1486 WEST MEQUON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902983133 | Sandra S Pearson | Physical Therapist | 10602 N Port Washington Rd Ste 101, Mequon, WI 53092-5079 | 2006-11-01 |
| 1407952526 | Laurie Dybul | Physical Therapist | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013321124 | Victoria Ann Moerchen | Physical Therapist | 3409 N Downer Avenue, Uwm, Pavilion, Pt Suite, Rm 366, Milwaukee, WI 53211-2956 | 2014-06-17 |
| 1922368323 | Courtney Wilder | Physical Therapist | 1100 Commerce Drive Suite 114, Racine, WI 53406 | 2012-05-21 |
| 1467763508 | Douglas Litscher | Physical Therapist | 125 Monroe Ave, Rice Lake, WI 54868-3204 | 2010-06-23 |
| 1306163761 | Julie Collison | Physical Therapist | 1409 Swamp Rd, Green Bay, WI 54313-1475 | 2010-04-26 |
| 1447426929 | Developmental Steps By Fons | Physical Therapist | 4102 Foxwood Ct, Janesville, WI 53546-8887 | 2008-05-05 |
| 1821262700 | Patricia E Barina | Physical Therapist | 16185 Burleigh Pl, Brookfield, WI 53005-2851 | 2008-04-22 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1447421656 | Gail Ann May | Physical Therapist | 205 Lodi St, Lodi, WI 53555-1220 | 2008-03-14 |
| 1548450372 | Lori Dominiczak | Physical Therapist | 4002 W Cherrywood Ln, Brown Deer, WI 53209-1002 | 2007-07-27 |
| 1144410069 | Jill Marie Nelson | Physical Therapist | N10732 Newton Lake Rd, Athelstane, WI 54104-9629 | 2007-07-26 |
| Find all providers with the same taxonomy | ||||
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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.