Sandra A Bassett
Individual provider Active NPI Occupational Therapy Assistant · Wausau, WI
NPI 1124355169 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1124355169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 398-027 (WI)
- Practice address
- 1100 Lake View Dr
Wausau, WI 54403-6785 - Phone
- (715) 848-4600
- Fax
- (715) 845-5398
- NPI assigned
- Nov 12, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 398-027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 398-027 | WI | Yes |
Addresses
Primary practice location
1100 Lake View Dr
Wausau, WI 54403-6785
Mailing address
1100 Lake View Dr
Wausau, WI 54403-6785
Phone (715) 848-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40721900 | Medicaid | WI |
Other providers in Wausau, WI
- Carly Barker
- Rhonda K Bartelt
- Jordan Bartholf
- Darryl R Barton
- Cassandra Mae Bartsch
- Benjamin S Battino
- Scott Alan Bauer
- Christine Kay Baumann
- Debra Baumann
- Katie A Baumann
All providers in Wausau, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.