Vivienne Forsyth Neerdaels, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

853-026 Issued in WI

Practice address

2323 N Casaloma Dr
Appleton, WI 54913-8284

Phone

(920) 730-8833

Fax

(920) 993-0726

NPI assigned

Aug 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hand to Shoulder Center of Wisconsin, LTD.Group PAC ID 6901884337, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Hand to Shoulder Center of Wisconsin, LTD.

  • Specialist
  • Appleton, WI
  • NPI 1760420277
  Medicare reassignment Care Compare group NPD
• Hand to Shoulder Center of Wisconsin, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Chilton, WI
  • NPI 1750039657
  NPD
• Roepke Physical Therapy Limited Partnership

  • Rehabilitation Clinic/Center
  • Medford, WI
  • NPI 1487736955
  NPD (past)
• Roepke Physical Therapy Limited Partnership

  • Occupational Therapist
  • Phillips, WI
  • NPI 1629215314
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1073705125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138284",
            "telephone_number": "715-339-4603",
            "fax_number": "715-339-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138284",
            "telephone_number": "920-730-8833",
            "fax_number": "920-993-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEERDAELS",
        "first_name": "VIVIENNE",
        "middle_name": "FORSYTH",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "853-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40690400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Jo Biese Neal, D.P.M., M.H.A.
• Trevor J. Nebel
• Ellen C Needham, MSW
• Todd L Needham, DDS
• Neenah Transportation LLC
• Jackie Lynn Nehls-Feucht, D.O.
• Teri M Nehring, MSE,LPC, CSAC, ICS
• Brian Scott Neiheisel, DO
• Paul D Nelsen, MD
• Ruth Ann Nelson-Lau, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.