Active NPI
Pamela Enea, OTR
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1205189784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2448 S 102ND St Ste 340
Milwaukee, WI 53227-2147 - Phone
- (414) 329-2428
- NPI assigned
- Oct 20, 2012
- 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 | Primary |
Addresses
Primary practice location
2448 S 102ND St Ste 340
Milwaukee, WI 53227-2147
Mailing address
13808 N Martin Way
Mequon, WI 53097-1752
Phone (262) 243-3619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190103000207 | WI | Practitioner - Occupational Therapist in Private Practice | 0446595904 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Wi LLC
Practice addresses (Care Compare)
2130 Continental Dr
West Bend, WI 53095-7904
Phone (262) 338-0092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Wi LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
199 Cty Df
Juneau, WI 53039
Phone (262) 735-8005
Organizations & group practices 3
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.
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Occupational Therapist, WI
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- Physical Therapist
- Menomonee Falls, WI
- NPI 1245755487
Occupational Therapist, WI
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350691200000",
"number": "1205189784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13808 N MARTIN WAY",
"city": "MEQUON",
"state": "WI",
"postal_code": "530971752",
"telephone_number": "262-243-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 S 102ND ST STE 340",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532272147",
"telephone_number": "414-329-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENEA",
"first_name": "PAMELA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-20",
"last_updated": "2012-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2012; 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.