Emily E Desjarlais
Individual provider Active NPI Occupational Therapy Assistant · Portage, WI
NPI 1053989434 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1053989434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 2815 New Pinery Rd
Portage, WI 53901-9257 - Phone
- (608) 742-4131
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
2815 New Pinery Rd
Portage, WI 53901-9257
Mailing address
429 Ridgeway Dr
Rio, WI 53960-8042
Phone (608) 617-4959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124083894 | Other | WI | EMPLOYER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emily.desjarlais@aspirus.org |
Other providers in Portage, WI
- Timothy A Mical Deering
- Robin A Deethardt
- Kelsey Deets
- Jennelle Marie Denoyer
- Derek J Cripps LLC
- Jill Dickson-Baures
- Kelly Lee Dittberner
- Divine Savior Healthcare
- Divine Savior Healthcare
- Divine Savior Healthcare Inc
All providers in Portage, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.