Sara M. McNamara, O.T.R.
Individual provider Active NPI Occupational Therapist · Montello, WI
NPI 1104091032 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1104091032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1323-126 (WI)
- Practice address
- N4577 County Road Y
Montello, WI 53949-9333 - Phone
- (608) 297-7168
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231113002879 | WI | Practitioner - Occupational Therapist in Private Practice | 5193172179 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1323 | WI | MD | Physical Therapy Assistant |
| 1323-126 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Therapy Services LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1323-126 | WI | Yes |
Addresses
Primary practice location
N4577 County Road Y
Montello, WI 53949-9333
Mailing address
N4577 County Road Y
Montello, WI 53949-9333
Phone (608) 297-7168
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40699300 | Medicaid | WI | |
| 1323-126 | Other | WI | WI OCCUPATIONAL THERAPY LICESURE |
Other providers in Montello, WI
- Corazon B Loteyro
- Marquette Chemical Dependency Service
- Marquette County Department of Human Services-Clinical Services
- Marquette County DHS
- Marquette County DHS
- Mikayla Mlsna
- Montello Joint Fire District
- Montello School District
- Irene E Quandt
- River Run Pharmacies, Inc
All providers in Montello, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.