Active NPI
Sarah Dyreson
- Occupational Therapist
- Madison, WI
National Provider Identifier
1053850859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6008 - 26
- Practice address
- 4725 Sheboygan Ave
#337
Madison, WI 53705-3105 - Phone
- (608) 588-4555
- NPI assigned
- Feb 14, 2017
- Last updated
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6008 - 26 | WI | Primary |
Addresses
Primary practice location
4725 Sheboygan Ave
#337
Madison, WI 53705-3105
Mailing address
600 Highland Ave # 2424
Madison, WI 53792-0001
Phone (608) 588-4555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6008 - 26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1053850859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE # 2424",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-588-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 SHEBOYGAN AVE",
"address_2": "#337",
"city": "MADISON",
"state": "WI",
"postal_code": "537053105",
"telephone_number": "608-588-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYRESON",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6008 - 26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.