Continence & Pelvic Wellness Clinic SC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CONTINENCE & PELVIC WELLNESS CLINIC SC

Practice address

1516 W Mequon Rd
Suite 102
Mequon, WI 53092

Phone

(262) 240-1202

Fax

(262) 240-1205

NPI assigned

Jul 25, 2006

Last updated

Jan 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sherese D Hildenbrand, OTRNPI 1154314466

Title

Owner VP

Phone

(262) 240-1202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherese D Hildenbrand, OT

  • Occupational Therapist
  • Mequon, WI
  • NPI 1154314466
  Authorized official Same address or phone

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1104848183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD",
            "address_2": "SUITE 102",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-240-1202",
            "fax_number": "262-240-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD",
            "address_2": "SUITE 102",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-240-1202",
            "fax_number": "262-240-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINENCE & PELVIC WELLNESS CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "HILDENBRAND",
        "authorized_official_first_name": "SHERESE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER VP",
        "authorized_official_telephone_number": "262-240-1202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Mequon, WI
• Providers in Mequon, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.