Shari Marie Pack, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1700-027 Issued in WI

Practice address

7517 W Coldspring Rd
Greenfield, WI 53220-2814

Phone

(414) 327-6603

NPI assigned

Mar 17, 2014

Last updated

Mar 17, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NSH Mineral Point LLC

  dba Mineral Point Health Services

  • Skilled Nursing Facility
  • Mineral Point, WI
  • NPI 1134762073
  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1043636889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 EAST NORTH STREET",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "53533",
            "telephone_number": "608-574-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 W COLDSPRING RD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202814",
            "telephone_number": "414-327-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "SHARI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1700-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie J Orlando
• Kathryn Rose Ortin, OTR
• Derek J Orton, MD
• Jeffrey A Osbourne, DPM
• Randall Curtiss Pack, DDS
• Pain Management Center of Wisconsin,S.C.
• Adam Pampori, MD
• Alexandra Pankowski
• Mary M Papandria, PHD HSPP
• Amanda Papenfus, OTR/L

• Occupational Therapy Assistant in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.