Healthcare Provider Details

I. General information

NPI: 1346780186
Provider Name (Legal Business Name): JODI FRAINT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8649 N PORT WASHINGTON RD
FOX POINT WI
53217-2203
US

IV. Provider business mailing address

929 W FOSTER AVE
CHICAGO IL
60640-1491
US

V. Phone/Fax

Practice location:
  • Phone: 414-755-5855
  • Fax:
Mailing address:
  • Phone: 773-433-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056011843
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number854726
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: