Individual provider Active NPI

Margaret Jo Fichter, COTA

  • Contractor
  • Baraboo, WI
National Provider Identifier
1093103293
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
OTA-1196 Issued in ID
Practice address
E11439 Hwy 159
Baraboo, WI 53913-9217
Phone
(608) 434-6999
NPI assigned
Dec 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X OTA-1196 ID Primary

Addresses

Primary practice location

E11439 Hwy 159
Baraboo, WI 53913-9217

Mailing address

E11439 Hwy 159
Baraboo, WI 53913-9217
Phone (608) 434-6999

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

LicenseStateTypeSpecialty
OTA-1196IDMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1093103293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E11439 HWY 159",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139217",
            "telephone_number": "608-434-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E11439 HWY 159",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139217",
            "telephone_number": "608-434-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHTER",
        "first_name": "MARGARET",
        "middle_name": "JO",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "ID",
            "license": "OTA-1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.