Active NPI
Faith Demunck
- Occupational Therapist
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 853426
- Practice address
- 2912 S Business Dr
Sheboygan, WI 53081-6520 - Phone
- (920) 803-2179
- NPI assigned
- May 23, 2024
- Last updated
- May 31, 2024
- 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 | 853426 | WI | Primary |
Addresses
Primary practice location
2912 S Business Dr
Sheboygan, WI 53081-6520
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 -1367 Port Washington Rd
Grafton, WI 53024-9333
Phone (262) 474-0050
S74W16845 Janesville Rd
Muskego, WI 53150-8618
Phone (262) 971-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 853426 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Therapeutic Institute of Milwaukee LLC | Current | Accepting new patients | |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Occupational Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Occupational Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Milwaukee, LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200
2809 S Business Dr
Sheboygan, WI 53081
Phone (920) 803-2179
2912 S Business Dr
Sheboygan, WI 53081
Phone (920) 803-2179
Organizations & group practices 4
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Pewaukee, WI
- NPI 1801907464
Occupational Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Wauwatosa, WI
- NPI 1104138486
-
- Durable Medical Equipment & Medical Supplies
- Sheboygan, WI
- NPI 1558956722
Occupational Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Sheboygan, WI
- NPI 1578895702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1194564500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 S BUSINESS DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530816520",
"telephone_number": "920-803-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMUNCK",
"first_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "853426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.