Active NPI
Rebecca Hettenhaus, OT
- Occupational Therapist
- Appleton, WI
National Provider Identifier
1235567348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7004
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 729-2155
- Fax
- (920) 720-7350
- NPI assigned
- Oct 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7004 | WI | Primary |
| Occupational Therapist | 225X00000X | 316003 | CO |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 729-2155
Other practice location 1
1635 S Josephine St
Denver, CO 80210-2810
Phone (920) 960-8938
Other practice location 2
130 2nd St
Neenah, WI 54956-2883
Phone (920) 960-8938
Other names 1
- Rebecca Buehrens
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 |
|---|---|---|---|
| 316003 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1235567348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-729-2155",
"fax_number": "920-720-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-729-2155",
"fax_number": "920-720-7350"
}
],
"practiceLocations": [
{
"address_1": "1635 S Josephine St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802102810",
"country_code": "US",
"telephone_number": "920-960-8938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 2nd St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549562883",
"country_code": "US",
"telephone_number": "920-960-8938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HETTENHAUS",
"first_name": "REBECCA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "7004",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "316003",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BUEHRENS",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.