Everwild

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EVERWILD

Practice address

1896 County Hwy NN
West Bend, WI 53095-9712

Phone

(414) 688-8888

NPI assigned

Nov 26, 2025

Organization subpart

No

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

Authorized official

Name

Amber Joy, CTRS, CTRI

Title

Co-Owner

Phone

(262) 208-5087

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1164384228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W169N11054 ASHBURY LN UNIT 2",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225570",
            "telephone_number": "262-208-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 COUNTY HWY NN",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959712",
            "telephone_number": "414-688-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 Limerick Ln",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "WI",
            "postal_code": "530279731",
            "country_code": "US",
            "telephone_number": "414-526-4264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3604 Division Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WI",
            "postal_code": "530379705",
            "country_code": "US",
            "telephone_number": "262-343-4784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVERWILD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "262-208-5087",
        "authorized_official_credential": "CTRS, CTRI"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in West Bend, WI
• Providers in West Bend, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.