Active NPI
Gracie Louise Schraa, COTA/L
- Occupational Therapy Assistant
- Fond Du Lac, WI
National Provider Identifier
1174297998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5798-27
- Practice address
- 265 S National Ave
Fond Du Lac, WI 54935-5334 - Phone
- (920) 922-7342
- NPI assigned
- Aug 4, 2021
- 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 Therapy Assistant | 224Z00000X | 5798-27 | WI | Primary |
Addresses
Primary practice location
265 S National Ave
Fond Du Lac, WI 54935-5334
Mailing address
248 3Rd St
Fond Du Lac, WI 54935-4468
Phone (920) 427-4967
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 |
|---|---|---|---|
| 5798-27 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Therapy Services LLC | Current | Accepting new patients |
Locations
265 S National Ave
Fond du Lac, WI 54935
Phone (920) 922-7342
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oshkosh, WI
- NPI 1386381598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1174297998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 3RD ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354468",
"telephone_number": "920-427-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 S NATIONAL AVE",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549355334",
"telephone_number": "920-922-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAA",
"first_name": "GRACIE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "5798-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.