Alexsandra Nicole Fronk, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

7040-27 Issued in WI

Practice address

410 N Main St. Three Pillars
Dousman, WI 53118

Phone

(800) 848-5306

NPI assigned

Jan 2, 2023

Last updated

Dec 4, 2024By the provider in NPPES

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

• Alexsandra Nicole Pjevach Former 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": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1194438556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S31 W24971 SUNSET DRIVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST. THREE PILLARS",
            "city": "DOUSMAN",
            "state": "WI",
            "postal_code": "53118",
            "telephone_number": "800-848-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONK",
        "first_name": "ALEXSANDRA",
        "middle_name": "NICOLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2024-12-04",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "7040-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXSANDRA",
            "last_name": "PJEVACH",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dousman Family Dentistry
• Matthew A Duma, M.D.
• Kathryn Marie Eddingsaas, RD, CD
• Steve Ellmann
• Noelle Corinne Finnegan, DPT
• Gerald J Dorff, MD
• Michael Thomas Goral, DDS
• William C Grall, LPN
• Margaret Mary Hazelberg, MSN-NE, RN, IBCLC
• Patricia Hooper, RDH

• Occupational Therapy Assistant in Dousman, WI
• Providers in Dousman, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.