Individual provider Active NPI

Daniel Prescher, OT

  • Occupational Therapist
  • Valders, WI
National Provider Identifier
1265809347
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5427-26 Issued in WI
Practice address
2331 Spancrete Rd
Valders, WI 54245-9646
Phone
(920) 830-6697
Fax
(920) 830-6707
NPI assigned
Aug 25, 2015
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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
5427-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blankenheim Services, LLC Occupational Therapist Past Accepting new patients
Blankenheim Occupational Therapy Occupational Therapist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5427-26 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

2331 Spancrete Rd
Valders, WI 54245-9646

Mailing address

1650 Tri Park Way Ste a
Appleton, WI 54914-1698
Phone (920) 830-6697

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2015.

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1265809347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TRI PARK WAY STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141698",
            "telephone_number": "920-830-6697",
            "fax_number": "920-830-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 SPANCRETE RD",
            "city": "VALDERS",
            "state": "WI",
            "postal_code": "542459646",
            "telephone_number": "920-830-6697",
            "fax_number": "920-830-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCHER",
        "first_name": "DANIEL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5427-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valders, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.