Madeline Fritz, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6870 Issued in WI

Practice address

305 S Clark St
Mayville, WI 53050-1488

Phone

(920) 387-0354

NPI assigned

Mar 22, 2021

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1003492794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 RICKEL RD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901840",
            "telephone_number": "608-837-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S CLARK ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501488",
            "telephone_number": "920-387-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "MADELINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkulis@enhance-rehab.com",
            "affiliation": "N",
            "address_1": "41 Rickel Rd",
            "city": "Sun Prairie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535901840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Extendicare Health Facilities, Inc. (Mayville Health & Rehabilitation Center)
• Bridgette Francis
• Kaitlyn Francour, OTR/L
• Daniel Frenette
• Sarah Mary Frings-Netys, DC
• Emily Michelle Gonzalez, LPC
• Jaime Gunderson, LCSW, CSAC
• Fatmeh Hamdan
• James John Herget, DDS
• Herman School District 22

• Occupational Therapist in Mayville, WI
• Providers in Mayville, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.