Active NPI
Bonnie Marie Stewart, OTR
- Occupational Therapist
- Sturgeon Bay, WI
National Provider Identifier
1093988610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4111-026
- Practice address
- 200 N 7TH Ave
Sturgeon Bay, WI 54235-1708 - Phone
- (920) 743-6274
- NPI assigned
- Apr 3, 2008
- Last updated
- Apr 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4111-026 | WI | Primary |
Addresses
Primary practice location
200 N 7TH Ave
Sturgeon Bay, WI 54235-1708
Mailing address
1193 Dousman St
Green Bay, WI 54303-3054
Phone (920) 619-4072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40881000 | Medicaid | WI |
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 |
|---|---|---|---|
| 4111-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1093988610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1193 DOUSMAN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543033054",
"telephone_number": "920-619-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N 7TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351708",
"telephone_number": "920-743-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "BONNIE",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4111-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40881000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sturgeon Bay, WI
- St. Clare Memorial Hospital, Inc (HSHS SCO Regional Surgery Center Sturgeon Bay)
- St. Joseph's Hospital (Libertas)
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis (St. Vincent Regional Cancer Center)
- Staudenmaier Chiropractic Wellness Center, S.C.
- Luke Eric Staudenmaier, D.C.
- Elizabeth R Stubenvoll, PHARMD
- Sturgeon Bay School District
- Sunshine House Inc.
- John David Swanson, M.D.
- Kelly Swingen, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.