Samantha Albrigtson
Individual provider Active NPI Occupational Therapist · Platteville, WI
NPI 1043975758 · NPPES record last updated Nov 8, 2021
Key facts
- NPI
- 1043975758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 6955 (WI)
- Practice address
- 1400 Eastside Rd
Platteville, WI 53818-9800 - Phone
- (608) 342-5071
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tria Orthopaedic Center LLC
Practice addresses (Care Compare)
403 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742
405 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742
411 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250502000124 | MN | Practitioner - Occupational Therapist in Private Practice | 4486170404 | Reassigns benefits to 1 organization |
| I20250502000209 | WI | Practitioner - Occupational Therapist in Private Practice | 4486170404 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6955 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Tria Orthopaedic Center LLC | Current |
Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6955 | WI | Yes |
Addresses
Primary practice location
1400 Eastside Rd
Platteville, WI 53818-9800
Mailing address
728 257TH St
Woodville, WI 54028-7034
Other providers in Platteville, WI
- Ashley Lorrie Adams
- Jennifer Grace Albright Knash
- Tiffany M Allen
- Karley Elizabeth Anderson
- Mackenzie Rachel Anderson
- Sandra Lynn Anderson
- Jason Y Ankumah-Saikoom
All providers in Platteville, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.