Individual provider Active NPI

Julie Ann Enslin, OTR

  • Occupational Therapist
  • Madison, WI
National Provider Identifier
1114983368
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3026-026 Issued in WI
Practice address
2801 Coho St Ste 3000
Madison, WI 53713-4574
Phone
(608) 273-4434
Fax
(608) 273-3426
NPI assigned
Apr 25, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3026-026 WI Primary

Addresses

Primary practice location

2801 Coho St Ste 3000
Madison, WI 53713-4574

Mailing address

7110 Gladstone Dr
Madison, WI 53719-2140
Phone (608) 206-0049

Other practice location 1

14 Ellis Potter Ct
Ste 200
Madison, WI 53711-2478
Phone (608) 204-6242

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

LicenseStateTypeSpecialty
3026-026WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114983368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 GLADSTONE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192140",
            "telephone_number": "608-206-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 COHO ST STE 3000",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134574",
            "telephone_number": "608-273-4434",
            "fax_number": "608-273-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Ellis Potter Ct",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537112478",
            "country_code": "US",
            "telephone_number": "608-204-6242",
            "fax_number": "608-204-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENSLIN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "3026-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.