Patty Gapen, COTA
Individual provider Active NPI Occupational Therapy Assistant · Arpin, WI
NPI 1336314129 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1336314129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 279-27 (WI)
- Practice address
- Bethel Center 18014 Bethel Rd
Arpin, WI 54410 - Phone
- (715) 652-2103
- Fax
- (715) 652-2103
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 279-27 | WI | Yes |
Addresses
Primary practice location
Bethel Center 18014 Bethel Rd
Arpin, WI 54410
Mailing address
1042 S Biron Dr
Wisc Rapids, WI 54494-8257
Phone (715) 570-7709
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407-05-300 | Medicaid | WI |
Other providers in Arpin, WI
- Bethel Center, LLC
- Helena Anne Collins-Price
- Eliza Evangeline Decker
- Amy J Donovan
- Sarah Holbrook
- Cynthia Kuka
- Sarina Kyle
- Doreen Gail Lowry
- James M McMahon
All providers in Arpin, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.