Theresa Marie Prucha, O.T.R. C.H.T.

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

1583-026 Issued in WI

Practice address

5000 Memorial Dr
Two Rivers, WI 54241-3900

Phone

(920) 794-5176

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285761023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 STEINERS CORNERS RD",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542419733",
            "telephone_number": "920-155-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MEMORIAL DR",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413900",
            "telephone_number": "920-794-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUCHA",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "O.T.R. C.H.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WI",
            "license": "1583-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Popovic, BCBA, LBA
• Charles D Pratt, MD
• Joy Lynn Preston, PTA
• Susan Laura Pribyl, C.O.T.A.
• Elizabeth M Propson, RN
• Reece Quistorf
• Michael J Rademacher, COTA
• Douglas E Rapisarda, MD
• Tammy Reigles, OTR/L
• Anthony T. Renkas, D.O.

• Hand Occupational Therapist in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Hand Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.