Anastasia Pitzen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6592-26 Issued in WI

Practice address

1915 N 34TH St
Superior, WI 54880-5575

Phone

(715) 399-3287

NPI assigned

Aug 23, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1053968081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10653 WAYZATA BLVD STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N 34TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805575",
            "telephone_number": "715-399-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITZEN",
        "first_name": "ANASTASIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105947",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6592-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelin Joy Petzel, RN
• Gina Pfingsten, PT
• Pickering Counseling & Consulting, Inc.
• Martha Pierpont
• Robert Bruce Pierpont, MD
• Peggy A. Pollock, RDH
• James G Potter, PA-C
• Professional Portable Radiologic Services, Inc.
• Alyson Marie Strand Prouty, LPN
• Aaron D Pust, MSW, LICSW

• Occupational Therapist in Superior, WI
• Providers in Superior, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.