Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902548225 Individual Practitioner Male Practitioner

Jacob Gravenkamp

Clinical Exercise Physiologist • Brookfield, WI

Professional Overview & Biography Verified Profile Summary

Jacob Gravenkamp is a registered healthcare professional specializing in Clinical Exercise Physiologist in Brookfield, WI. Practice services are available at 21345 CLEARFIELD CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21345 Clearfield Ct

Brookfield, WI 530453917

Telephone 2623120671

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinical Exercise Physiologist in Brookfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Brookfield, WI (51 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-07
Clinical Exercise Physiologist Primary Specialty

NUCC Taxonomy Code: 224Y00000X

A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 07, 2022

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2022

Registered at 21345 CLEARFIELD CT, BROOKFIELD, WI 530453917 (Tel: 2623120671)

📍
Updated Business Mailing Address April 07, 2022

Registered at 21345 CLEARFIELD CT, BROOKFIELD, WI 530453917 (Tel: 2623120671)

👤
Provider Name / Credentials Updated April 07, 2022

Recorded as JACOB GRAVENKAMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2022

Clinical Exercise Physiologist

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Initial NPI Registration & Enumeration April 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902548225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2022
Last Update: April 07, 2022
Sole Proprietor: Yes

Mailing Address

21345 Clearfield Ct

Brookfield, WI 530453917

Phone: 2623120671

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.