Active NPI
Sally K Powell, OT
- Occupational Therapist
- Weston, WI
National Provider Identifier
1164530945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2418-026
- Practice address
- 3402 Howland Ave
Suite 100
Weston, WI 54476-5633 - Phone
- (715) 355-5701
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2418-026 | WI | Primary |
Addresses
Primary practice location
3402 Howland Ave
Suite 100
Weston, WI 54476-5633
Mailing address
3000 Westhill Dr
Suite 303
Wausau, WI 54401-3795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2418 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 2418-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1164530945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 WESTHILL DR",
"address_2": "SUITE 303",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544013795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 HOWLAND AVE",
"address_2": "SUITE 100",
"city": "WESTON",
"state": "WI",
"postal_code": "544765633",
"telephone_number": "715-355-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "SALLY",
"middle_name": "K",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2418-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.