NPIMap

Organization Active NPI

Western Wisconsin Music in Medicine, LLC

  • Occupational Therapist
  • Mondovi, WI
National Provider Identifier
1356655393
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2363-26 Issued in WI
Legal business name
WESTERN WISCONSIN MUSIC IN MEDICINE, LLC
Practice address
S806 County Road H
Mondovi, WI 54755-8210
Phone
(715) 495-3768
Fax
(715) 926-5137
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Kimberly Negus, COTA-NMT/L
Title
Director
Phone
(715) 495-3768

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 1617-27 WI
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X 28038 WI
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 2363-26 WI Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 718241 WI

Addresses

Primary practice location

S806 County Road H
Mondovi, WI 54755-8210

Mailing address

S 806 Couty Road H
Mondovi, WI 54755-8210
Phone (715) 495-3768

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1356655393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S 806 COUTY ROAD H",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547558210",
            "telephone_number": "715-495-3768",
            "fax_number": "715-926-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S806 COUNTY ROAD H",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547558210",
            "telephone_number": "715-495-3768",
            "fax_number": "715-926-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WISCONSIN MUSIC IN MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "NEGUS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-495-3768",
        "authorized_official_credential": "COTA-NMT/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1617-27",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": "WI",
            "license": "28038",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2363-26",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "718241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mondovi, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.