Hannah Dyer, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

7008-27 Issued in WI

Practice address

430 Wilcox St
Fort Atkinson, WI 53538-1968

Phone

(920) 563-5533

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1396446928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 AMERICAN ASH DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041110",
            "telephone_number": "608-520-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WILCOX ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381968",
            "telephone_number": "920-563-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "HANNAH",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "7008-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Dougherty, P.A.
• Douglas Robert Schildt, D.C., S.C. (HealthSource of Fort Atkinson)
• McKayla Marie Drew, APSW
• Kathryn Gayle Dunkel, DPT
• Dycora Transitional Health - Fort Atkinson LLC
• E C Jiongco, MD, SC
• Eby Family Dental
• Stacey Ann Eby, DDS
• Michelle Eichenberg
• Brett William Eliszewski

• Occupational Therapy Assistant in Fort Atkinson, WI
• Providers in Fort Atkinson, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.