Active NPI
Foundations Therapy, LLC
- Clinic/Center
- Menomonie, WI
National Provider Identifier
1205260510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.