JACK RYAN SPECKMAN OTR
NPI 1346003704
Occupational Therapist in Janesville, WI
About Jack Ryan Speckman Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK RYAN SPECKMAN OTR (NPI 1346003704) is an individual occupational therapist in Janesville, Wisconsin, licensed in Wisconsin (8493) and active in the NPI registry since January 2024. He maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Ryan Speckman Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jack Speckman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin enrollment
- 1,155 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Speckman's NPI number?
The NPI number for Jack Speckman is 1346003704. It was assigned to this individual provider in the NPPES registry on January 30, 2024.
Where is Jack Speckman located?
Jack Speckman practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-6000.
What is Jack Speckman's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jack Speckman enrolled in Medicare?
Yes. Jack Speckman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jack Speckman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Speckman reassigns Medicare benefits to Mercy Health System Corporation (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Speckman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Speckman was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.