Teresa Westberg, COTA
Individual provider Active NPI Occupational Therapy Assistant · Algoma, WI
NPI 1386744217 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1386744217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 85 (WI)
- Practice address
- 1510 Fremont St
Algoma, WI 54201-1948 - Phone
- (920) 487-9888
- Fax
- (920) 433-8765
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Door County Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 85 | WI | Yes |
Addresses
Primary practice location
1510 Fremont St
Algoma, WI 54201-1948
Mailing address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 487-9888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40645400 | Medicaid | WI |
Other providers in Algoma, WI
- Amber Beth Vanden Avond
- Sarah Lynn Villers
- Nicholas Wasilkoff
- Waterfall Health of Algoma, LLC
- Stephanie Lynn West
- Sandra Winnemueller
All providers in Algoma, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.