Megan C Crockett, OT

Individual provider Active NPI Occupational Therapist · Portage, WI

NPI 1356896047 · NPPES record last updated May 21, 2026

Key facts

NPI
1356896047
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5732-26 (WI)
Practice address
626 E Slifer St
Portage, WI 53901-1224
Phone
(608) 745-5400
NPI assigned
Aug 23, 2016
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)
Yes

State licenses

LicenseStateTypeSpecialty
5732-26WIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5732-26 WI Yes

Addresses

Primary practice location

626 E Slifer St
Portage, WI 53901-1224

Mailing address

4429 Meadow LN
Amherst, WI 54406-9117
Phone (805) 455-6455

Other identifiers

IdentifierTypeStateIssuer
5732-26OtherWIWI STATE LIC

Other names

  • Megan C Chappel Former name

Other providers in Portage, WI

All providers in Portage, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.