Active NPI
Sara Fitch
- Occupational Therapist
- Lake Mills, WI
National Provider Identifier
1093937161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4411026
- Practice address
- 901 Mulberry St
Lake Mills, WI 53551-1335 - Phone
- (920) 648-3144
- NPI assigned
- May 2, 2007
- 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 | 4411026 | WI | Primary |
Addresses
Primary practice location
901 Mulberry St
Lake Mills, WI 53551-1335
Mailing address
302 E Water St
Watertown, WI 53094-5309
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4411026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1093937161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E WATER ST",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530945309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MULBERRY ST",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535511335",
"telephone_number": "920-648-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITCH",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4411026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mills, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.