Active NPI
Mark Robert Thiel, OTR
- Occupational Therapist
- Neenah, WI
National Provider Identifier
1235324492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3468 - 26
- Practice address
- 130 2ND St
Neenah, WI 54956-2883 - Phone
- (920) 729-3100
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- 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 | 3468 - 26 | WI | Primary |
Addresses
Primary practice location
130 2ND St
Neenah, WI 54956-2883
Mailing address
PO Box 2759
Appleton, WI 54912-2759
Phone (920) 830-5900
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 |
|---|---|---|---|
| 3468 - 26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1235324492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2759",
"city": "APPLETON",
"state": "WI",
"postal_code": "549122759",
"telephone_number": "920-830-5900",
"fax_number": "920-830-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 2ND ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562883",
"telephone_number": "920-729-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEL",
"first_name": "MARK",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3468 - 26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.