Individual provider Active NPI

Marion Verplancke

  • Occupational Therapist
  • Fox Point, WI
National Provider Identifier
1245250042
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
6908 N Santa Monica Blvd
Fox Point, WI 53217-3942
Phone
(414) 352-2082
Fax
(414) 352-5279
NPI assigned
Jul 21, 2006
Last updated
Apr 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

6908 N Santa Monica Blvd
Fox Point, WI 53217-3942

Mailing address

6908 N Santa Monica Blvd
Fox Point, WI 53217-3942
Phone (414) 352-2082

Other identifiers 1

IdentifierTypeStateIssuer
40900100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000707 WI Practitioner - Occupational Therapist in Private Practice 8628028230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Physical Therapy Services SCGroup PAC ID 8224938113, 29 clinicians

Practice addresses (Care Compare)

6908 N Santa Monica Blvd
Fox Point, WI 53217-3942
Phone (414) 352-2082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3994WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy Services SC CurrentSince Jul 9, 2013 Accepting new patients

Locations

1235 Dakota Dr
Ste L
Grafton, WI 53024
Phone (262) 376-2085

6908 N Santa Monica Blvd
Milwaukee, WI 53217
Phone (414) 352-2082

111 Atkinson St
Ste 2
Mukwonago, WI 53149
Phone (262) 363-3268

Organizations & group practices 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1245250042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 N SANTA MONICA BLVD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532173942",
            "telephone_number": "414-352-2082",
            "fax_number": "414-352-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 N SANTA MONICA BLVD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532173942",
            "telephone_number": "414-352-2082",
            "fax_number": "414-352-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERPLANCKE",
        "first_name": "MARION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40900100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.