Active NPI
Helen Mary Fliss, OTR
- Occupational Therapist
- West Allis, WI
National Provider Identifier
1194992529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 510-026
- Practice address
- 8615 W Beloit Rd
West Allis, WI 53227-3711 - Phone
- (414) 607-4120
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 510-026 | WI | Primary |
Addresses
Primary practice location
8615 W Beloit Rd
West Allis, WI 53227-3711
Mailing address
8615 W Beloit Rd
West Allis, WI 53227-3711
Phone (414) 607-4120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40616900 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 510-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1194992529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8615 W BELOIT RD",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532273711",
"telephone_number": "414-607-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 W BELOIT RD",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532273711",
"telephone_number": "414-607-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLISS",
"first_name": "HELEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "510-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40616900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.