JACQUELINE C SOUTHARD DPT
NPI 1962795021
Physical Therapist in Greenfield, WI
About Jacqueline C Southard Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE C SOUTHARD DPT (NPI 1962795021) is an individual physical therapist in Greenfield, Wisconsin, licensed in Wisconsin (11733) and active in the NPI registry since May 2011. She maintains a secondary practice location in Greenfield.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline C Southard Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Southard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
West Allis, WI 53214
- Reassigned Medicare billing, Wisconsin enrollment
- 63 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.
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 Jacqueline Southard's NPI number?
The NPI number for Jacqueline Southard is 1962795021. It was assigned to this individual provider in the NPPES registry on May 24, 2011. The provider is also known as Jacqueline Fliess.
Where is Jacqueline Southard located?
Jacqueline Southard practices at 9000 W Sura Ln, Greenfield, WI 53228. The listed phone number is (414) 246-6800.
What is Jacqueline Southard's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jacqueline Southard enrolled in Medicare?
Yes. Jacqueline Southard is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Southard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Southard reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (West Allis, WI) and Aegis Group Practice LLC (West Allis, WI). Each 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 Jacqueline Southard'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 Jacqueline Southard was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.