Organization Active NPI

Foundations Therapy, LLC

  • Clinic/Center
  • Menomonie, WI
National Provider Identifier
1205260510
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FOUNDATIONS THERAPY, LLC
Practice address
1421 Broadway St N
Ste 113
Menomonie, WI 54751-4728
Phone
(715) 544-7574
NPI assigned
Aug 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emily A Hanson, MS,OTR/L
Title
Owner/Occupational Therapist
Phone
(715) 544-7574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1421 Broadway St N
Ste 113
Menomonie, WI 54751-4728

Mailing address

1421 Broadway St N
Ste 113
Menomonie, WI 54751-4728
Phone (715) 544-7574

National Provider Directory

National Provider Directory

Locations

1421 Broadway St N
Ste 114
Menomonie, WI 54751
Phone (715) 544-7574

1421 Broadway St N
Ste 113
Menomonie, WI 54751
Phone (715) 544-7574

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1205260510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 BROADWAY ST N",
            "address_2": "STE 113",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547514728",
            "telephone_number": "715-544-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 BROADWAY ST N",
            "address_2": "STE 113",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547514728",
            "telephone_number": "715-544-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "715-544-7574",
        "authorized_official_credential": "MS,OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.