Individual provider Active NPI

Alissa Marie Sadler, MOTR/L

  • Occupational Therapist
  • Brookfield, WI
National Provider Identifier
1174222103
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8163-26 Issued in WI
Practice address
3360 Gateway Rd
Brookfield, WI 53045-5115
Phone
(414) 964-4777
Fax
(414) 964-4778
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8163-26 WI Primary

Addresses

Primary practice location

3360 Gateway Rd
Brookfield, WI 53045-5115

Mailing address

W157N11458 Hilbert LN Unit C
Germantown, WI 53022-6005
Phone (920) 629-4338

Other practice location 1

11740 N Port Washington Rd
Mequon, WI 53092-3420
Phone (262) 241-8030

Other names 1

  • Alissa Marie Wagner Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8163-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenfield Rehab Agency Unc. PastSince Mar 5, 2023 Accepting new patients
Greenfield Rehabilitation Agency, Inc. Occupational Therapist PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1174222103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W157N11458 HILBERT LN UNIT C",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226005",
            "telephone_number": "920-629-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 GATEWAY RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455115",
            "telephone_number": "414-964-4777",
            "fax_number": "414-964-4778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11740 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923420",
            "country_code": "US",
            "telephone_number": "262-241-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADLER",
        "first_name": "ALISSA",
        "middle_name": "MARIE",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "8163-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "WAGNER",
            "middle_name": "MARIE",
            "credential": "MOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.