Individual provider Active NPI

Patience A Lamers, OT

  • Occupational Therapist
  • Woodruff, WI
National Provider Identifier
1376624817
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4053-026 Issued in WI
Practice address
240 Maple Street
Woodruff, WI 54568-0470
Phone
(715) 356-8000
NPI assigned
Oct 18, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4053-026 WI Primary

Addresses

Primary practice location

240 Maple Street
Woodruff, WI 54568-0470

Mailing address

240 Maple Street
Box 470
Woodruff, WI 54568-0470
Phone (715) 356-8000

Other identifiers 1

IdentifierTypeStateIssuer
40860500MedicaidWI

Other names 1

  • Patience A Bodoh Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129002672 WI Practitioner - Occupational Therapist in Private Practice 5698055143 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4053-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard Young Medical Center, Inc. CurrentSince Apr 11, 2022 Accepting new patients
Lac Du Flambeau Band of Lake Superior Chippewa Indians CurrentSince Oct 27, 2016 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Lac Du Flambeau Band of Lake Superior Chippewa Indians CurrentSince Oct 27, 2016 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Apr 11, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Apr 11, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 17, 2018 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

129 Old Abe Rd
Lac du Flambu, WI 54538
Phone (715) 588-3371

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

1446 State Highway 47 E
Woodruff, WI 54568
Phone (715) 356-9999

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

240 Maple St
#470
Woodruff, WI 54568

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376624817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAPLE STREET",
            "address_2": "BOX 470",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545680470",
            "telephone_number": "715-356-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAPLE STREET",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545680470",
            "telephone_number": "715-356-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMERS",
        "first_name": "PATIENCE",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4053-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40860500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATIENCE",
            "last_name": "BODOH",
            "middle_name": "A",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodruff, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.