Active NPI
Vanessa Eisch, OTR
- Occupational Therapist
- Geneva, IL
National Provider Identifier
1376986117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056013919
- Practice address
- 0S580 Preston Cir
Geneva, IL 60134-6140 - Phone
- (928) 961-0055
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056013919 | IL | Primary |
Addresses
Primary practice location
0S580 Preston Cir
Geneva, IL 60134-6140
Mailing address
0S580 Preston Cir
Geneva, IL 60134-6140
Phone (928) 961-0055
Other practice location 1
3541 Plover Rd
Wisconsin Rapids, WI 54494-2155
Phone (715) 423-5423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056013919 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapies Plus LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Wisconsin Rapids, WI
- NPI 1013045582
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1376986117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0S580 PRESTON CIR",
"city": "GENEVA",
"state": "IL",
"postal_code": "601346140",
"telephone_number": "928-961-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0S580 PRESTON CIR",
"city": "GENEVA",
"state": "IL",
"postal_code": "601346140",
"telephone_number": "928-961-0055"
}
],
"practiceLocations": [
{
"address_1": "3541 Plover Rd",
"address_purpose": "LOCATION",
"city": "Wisconsin Rapids",
"state": "WI",
"postal_code": "544942155",
"country_code": "US",
"telephone_number": "715-423-5423",
"fax_number": "715-423-1532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EISCH",
"first_name": "VANESSA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056013919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.