Active NPI
Heather Ann Tague, OTR
- Occupational Therapist
- Richland Center, WI
National Provider Identifier
1083868038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5910-26
- Practice address
- 860 Sunset LN Apt 10
Richland Center, WI 53581-1140 - Phone
- (608) 383-1330
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5910-26 | WI | Primary |
| Occupational Therapy Assistant | 224Z00000X | 4618-027 | WI |
Addresses
Primary practice location
860 Sunset LN Apt 10
Richland Center, WI 53581-1140
Mailing address
860 Sunset LN Apt 10
Richland Center, WI 53581-1140
Phone (608) 383-1330
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 |
|---|---|---|---|
| 4618-027 | WI | MD | Occupational Therapy Assistant |
| 5910-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1083868038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 SUNSET LN APT 10",
"city": "RICHLAND CENTER",
"state": "WI",
"postal_code": "535811140",
"telephone_number": "608-383-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 SUNSET LN APT 10",
"city": "RICHLAND CENTER",
"state": "WI",
"postal_code": "535811140",
"telephone_number": "608-383-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGUE",
"first_name": "HEATHER",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5910-26",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "4618-027",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland Center, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.