Sara Andersen, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

13203 Globe Dr Ste 111
Mt Pleasant, WI 53177-1616

Phone

(262) 287-0090

NPI assigned

Dec 10, 2018

Last updated

Nov 16, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Medical Support Services Inc

  • Rehabilitation Clinic/Center
  • Mount Pleasant, WI
  • NPI 1114143781
  NPD
• Therapies Plus LLC

  • Rehabilitation Clinic/Center
  • Wisconsin Rapids, WI
  • NPI 1013045582

  Occupational Therapist

  NPD (past)
• Vocational Development Group, LLC

  dba Behavior Development Group

  • Behavior Analyst
  • Davie, FL
  • NPI 1811352099

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1043781594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E SAVELAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074022",
            "telephone_number": "414-477-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 GLOBE DR STE 111",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "531771616",
            "telephone_number": "262-287-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3541 Plover Rd",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544942155",
            "country_code": "US",
            "telephone_number": "715-423-5423",
            "fax_number": "715-423-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "SARA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "6436-26",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043781594",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anchortherapy LLC
• Kandace Anderson, RDH
• Matthew Anderson, DPT
• Julie Andreoli
• Ireland Andrews, LCSW
• Corinne Marcia Anthony-Manswell, NP

• Occupational Therapist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.