Amy Evenstad, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4511-026 Issued in WI

Practice address

2575 7TH St S
La Crosse, WI 54601-5249

Phone

(608) 775-8251

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1386706455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N496 COUNTY ROAD PI",
            "city": "COON VALLEY",
            "state": "WI",
            "postal_code": "546239374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015249",
            "telephone_number": "608-775-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSTAD",
        "first_name": "AMY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1489-027",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4511-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA LICENSE",
            "identifier": "1489-027",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew R Evensen, MD
• Lindsey Evenson
• Ethan R Everett, PSYD
• Pamela Ann Evers, ADN
• Reid Evers, DDS
• Arlyce O Everson, RN, CCM, NCTMB
• Evolve Mental Health Solutions, LLC

• Occupational Therapist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.