MEDICARE: MRS. JILL OGGER M.S.P.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501010521	MI

General Provider Information

NPI Number	:	1184735821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JILL OGGER M.S.P.T

Provider Business Mailing Address
First Line	:	1677 5TH ST
Second Line	:
City	:	MARYSVILLE
State	:	MI
Zip	:	48040-2542
Country	:	US
Telephone Number	:	586-255-5009
Fax Number	:

Provider Business Practice Location Address
First Line	:	1985 GRATIOT BLVD
Second Line	:
City	:	MARYSVILLE
State	:	MI
Zip	:	48040-2215
Country	:	US
Telephone Number	:	810-216-1801
Fax Number	:	810-216-0983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/27/2025

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