Sherese D Hildenbrand, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

738-026 Issued in WI

Practice address

1516 W Mequon Rd
Ste 102
Mequon, WI 53092-3264

Phone

(262) 240-1202

Fax

(262) 240-1205

NPI assigned

Aug 23, 2005

Last updated

Jun 14, 2013By the provider in NPPES

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

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sport Clinic Physical Therapy Inc

  • Physical Therapist
  • Bayside, WI
  • NPI 1912918475
  Medicare reassignment
• Continence & Pelvic Wellness Clinic SC

  • Occupational Therapist
  • Mequon, WI
  • NPI 1104848183
  Authorized official Same address or phone

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1154314466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD",
            "address_2": "STE 102",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923264",
            "telephone_number": "262-240-1202",
            "fax_number": "262-240-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD",
            "address_2": "STE 102",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923264",
            "telephone_number": "262-240-1202",
            "fax_number": "262-240-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDENBRAND",
        "first_name": "SHERESE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "738-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000283140",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herslof's, Inc (Dean & Fletcher)
• Kathy Anne Herzog, LPC
• Holly Christine Heuer, LPC
• Charrisse Hightower
• Lee Edward Hildebrand, PHD
• Eileen Gurecka Hill, R.N.
• Lynda Mary Hill, RN
• Nikki G Hill
• Tami Elizabeth Hill, LPN
• Jeffrey S Hinkle, M.ED, ATC/L

• Occupational Therapist in Mequon, WI
• Providers in Mequon, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.