Andrea Sjaardema, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1891-027 Issued in WI

Practice address

4103 60TH St
Kenosha, WI 53144-2509

Phone

(262) 652-1111

Fax

(262) 652-1124

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104965474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442509",
            "telephone_number": "262-652-1111",
            "fax_number": "262-652-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442509",
            "telephone_number": "262-652-1111",
            "fax_number": "262-652-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJAARDEMA",
        "first_name": "ANDREA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1891-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41040400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satnam K Singh, M.D
• Megan Jeanne Sinnen, PHARMD
• Kalin Marie Sisco
• Gregory J Sitter, PHARM D
• Alicia D Sittig, PTA
• Madeline Sjodin
• Alyssa Skalitzky, APNP
• Cynthia Rae Skarda, MSW, APSW
• Ariel R Skavdahl, DPT
• Naomi Skinner, DPT

• Occupational Therapy Assistant in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.