Maggie Vita Poklar

Individual provider Active NPI Occupational Therapist · Bayside, WI

NPI 1376474148 · NPPES record last updated May 28, 2026

Key facts

NPI
1376474148
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
601 E Ellsworth LN
Bayside, WI 53217-1827
Phone
(414) 247-4201
NPI assigned
May 28, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

601 E Ellsworth LN
Bayside, WI 53217-1827

Mailing address

314 E Spooner Rd
Fox Point, WI 53217-2746

Other providers in Bayside, WI

All providers in Bayside, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.