Active NPI
Joanne Mary Wirtz, MS OTR
- Occupational Therapist
- Green Bay, WI
National Provider Identifier
1003072497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2841
- Practice address
- 1275 S Robinson Ave
Green Bay, WI 54311-5537 - Phone
- (920) 737-3077
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2841 | WI | Primary |
Addresses
Primary practice location
1275 S Robinson Ave
Green Bay, WI 54311-5537
Mailing address
1275 S Robinson Ave
Green Bay, WI 54311-5537
Phone (920) 737-3077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1003072497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 S ROBINSON AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115537",
"telephone_number": "920-737-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 S ROBINSON AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115537",
"telephone_number": "920-737-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTZ",
"first_name": "JOANNE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "MS OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.