Angela Carpenter, COTA

Individual provider Active NPI Occupational Therapy Assistant · Onalaska, WI

NPI 1043198047 · NPPES record last updated Aug 26, 2025

Key facts

NPI
1043198047
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
7215-27 (WI)
Practice address
1600 Main St
Onalaska, WI 54650-2838
Phone
(608) 783-4681
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7215-27WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7215-27 WI Yes

Addresses

Primary practice location

1600 Main St
Onalaska, WI 54650-2838

Mailing address

812 Redwood St Apt 25
Onalaska, WI 54650-2280
Phone (608) 797-6263

Other providers in Onalaska, WI

All providers in Onalaska, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.