Individual provider Active NPI

Gina Maria Zader, OTR

  • Physical Rehabilitation Occupational Therapist
  • Milwaukee, WI
National Provider Identifier
1235826843
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
1566-26 Issued in WI
Practice address
8800 W Doyne Ave
Milwaukee, WI 53226-1222
Phone
(414) 805-5879
NPI assigned
Apr 24, 2023
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 1566-26 WI Primary

Addresses

Primary practice location

8800 W Doyne Ave
Milwaukee, WI 53226-1222

Mailing address

N9587 Horseshoe LN
Mukwonago, WI 53149-1848
Phone (414) 588-8174

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

LicenseStateTypeSpecialty
1566-26WIMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert Health Pharmacy LLC CurrentSince Apr 30, 2023 Accepting new patients
Froedtert Health Pharmacy LLC PastSince Apr 30, 2023 Accepting new patients

Locations

8800 W Doyne Ave
Milwaukee, WI 53226
Phone (414) 805-0977

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1235826843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9587 HORSESHOE LN",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491848",
            "telephone_number": "414-588-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W DOYNE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261222",
            "telephone_number": "414-805-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADER",
        "first_name": "GINA",
        "middle_name": "MARIA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WI",
            "license": "1566-26",
            "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 Apr 24, 2023; 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.