Anne Malm Nischke, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4749-026 Issued in WI

Practice address

516 6TH Ave
Stevens Point, WI 54481-1510

Phone

(715) 630-7967

NPI assigned

Apr 17, 2009

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 names 1

• Anne Malm Nischke Professional 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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1154564391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544810567",
            "telephone_number": "715-630-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 6TH AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811510",
            "telephone_number": "715-630-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISCHKE",
        "first_name": "ANNE",
        "middle_name": "MALM",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4749-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "NISCHKE",
            "middle_name": "MALM",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Occupational Therapist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.