Judith Lynn Fecteau, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

861-26 Issued in WI

Practice address

9449 W Forest Home Ave
Hales Corners Care Center Rehab Dept.
Hales Corners, WI 53130-1611

Phone

(414) 529-1271

Fax

(414) 529-1271

NPI assigned

May 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Judith Lynn Mapes Former name

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1124294574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 W FOREST HOME AVE",
            "address_2": "HALES CORNERS CARE CENTER REHAB DEPT.",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301611",
            "telephone_number": "414-529-1271",
            "fax_number": "414-529-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 W FOREST HOME AVE",
            "address_2": "HALES CORNERS CARE CENTER REHAB DEPT.",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301611",
            "telephone_number": "414-529-1271",
            "fax_number": "414-529-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECTEAU",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "861026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "861-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40524200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "MAPES",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Robert Eckert, DPT
• Phyllis M. Eckhart, DDS
• Beth Marie Eddy, IBCLC
• Elizabeth Hoover Eiche, D.D.S.
• Dana Elchami, DDS
• Forest View Health Center, L.L.C.
• Forest View Health Center, LLC
• Christy L Frady, D.M.D.
• Riley Fuerstenau, MS, LPC-IT
• Lauren Gahan

• Occupational Therapist in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.