Active NPI
Ann Patrice Decker, OTR
- Occupational Therapist
- Winnebago, WI
National Provider Identifier
1124186259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25026
- Practice address
- 725 Butler Ave
Rehab Care Parkview Health Center
Winnebago, WI 54985-0010 - Phone
- (920) 235-5100
- Fax
- (920) 233-7352
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 25026 | WI | Primary |
Addresses
Primary practice location
725 Butler Ave
Rehab Care Parkview Health Center
Winnebago, WI 54985-0010
Mailing address
PO Box 10
Rehab Care Parkview Health Center 725 Butler Ave
Winnebago, WI 54985-0010
Phone (920) 235-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40666600 | 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 |
|---|---|---|---|
| 25026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124186259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"address_2": "REHAB CARE PARKVIEW HEALTH CENTER 725 BUTLER AVE",
"city": "WINNEBAGO",
"state": "WI",
"postal_code": "549850010",
"telephone_number": "920-235-5100",
"fax_number": "920-233-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 BUTLER AVE",
"address_2": "REHAB CARE PARKVIEW HEALTH CENTER",
"city": "WINNEBAGO",
"state": "WI",
"postal_code": "549850010",
"telephone_number": "920-235-5100",
"fax_number": "920-233-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "ANN",
"middle_name": "PATRICE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "25026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40666600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winnebago, WI
Sources for this page
- 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.