Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Lynn Blievernicht, PT

Individual provider Physical Therapist · NPI 1700149358

Jessica Lynn Blievernicht, PT is a Physical Therapist in Private Practice in Wauwatosa, Wisconsin. Qualified in 2010, 16 years ago. Practices with Body Renovation Physical Therapy SC, a 14-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1510 Underwood Ave
Wauwatosa, WI 53213-2619
Phone: (262) 375-1075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6335 (OR)

Record details

NPI number1700149358
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Body Renovation Physical Therapy Sc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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