Individual provider Active NPI

Sarah Renee Wittak, OTD, OTR/L, CHT

  • Occupational Therapist
  • Watertown, WI
National Provider Identifier
1306312814
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7006-26 Issued in WI
Practice address
123 Hospital Dr Ste 1008
Watertown, WI 53098-3320
Phone
(920) 206-6500
Fax
(920) 261-4013
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7006-26 WI Primary
Hand Occupational Therapist 225XH1200X 7006-26 WI

Addresses

Primary practice location

123 Hospital Dr Ste 1008
Watertown, WI 53098-3320

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (623) 434-2115

Other identifiers 1

IdentifierTypeStateIssuer
100194454MedicaidWI

Other names 1

  • Sarah Renee George Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205003115 WI Practitioner - Occupational Therapist in Private Practice 6002160686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Hospital Dr
Suite 1008
Watertown, WI 53098-3320
Phone (920) 206-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5672MNMDChiropractor
7006-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC CurrentSince Feb 17, 2025 Accepting new patients
Orthopedic & Spine Centers of Wisconsin, SC. CurrentSince Apr 21, 2025 Accepting new patients
Orthopedic & Spine Centers of Wisconsin, SC. CurrentSince Apr 21, 2025 Accepting new patients
DPT Holdings LLC Occupational Therapist Past Accepting new patients

Locations

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

3825 39th Ave
Ste 110
Kenosha, WI 53144
Phone (262) 605-6810

2501 W Beltline Hwy
Ste 601
Madison, WI 53713
Phone (608) 234-7436

2384 Jackson St
Stoughton, WI 53589

123 Hospital Dr
Ste 1008
Watertown, WI 53098
Phone (920) 206-6500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1306312814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "623-434-2115",
            "fax_number": "623-544-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR STE 1008",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983320",
            "telephone_number": "920-206-6500",
            "fax_number": "920-261-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTAK",
        "first_name": "SARAH",
        "middle_name": "RENEE",
        "credential": "OTD, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "7006-26",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WI",
            "license": "7006-26",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100194454",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GEORGE",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.