Active NPI
Joanne Sylvia Pickett, 225X00000X
- Occupational Therapist
- Beloit, WI
National Provider Identifier
1093036022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1017-26
- Practice address
- 1905 E Huebbe Pkwy
Beloit, WI 53511-1842 - Phone
- (608) 364-2200
- Fax
- (608) 364-2338
- NPI assigned
- Jun 14, 2010
- 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 | 1017-26 | WI | Primary |
Addresses
Primary practice location
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Mailing address
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1093036022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 E HUEBBE PKWY",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2200",
"fax_number": "608-364-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 E HUEBBE PKWY",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2200",
"fax_number": "608-364-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "JOANNE",
"middle_name": "SYLVIA",
"credential": "225X00000X",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1017-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.