Individual provider Active NPI

Tasha Denise Vinson, O.T.R

  • Occupational Therapist
  • Milwaukee, WI
National Provider Identifier
1407186653
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4834-26 Issued in WI
Practice address
9632 W Appleton Ave
Milwaukee, WI 53225-3305
Phone
(414) 535-6704
Fax
(414) 535-6952
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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 4834-26 WI Primary

Addresses

Primary practice location

9632 W Appleton Ave
Milwaukee, WI 53225-3305

Mailing address

9632 W. Appleton Ave
Birchwood Healthcare and Rehab Center
Milwaukee, WI 53225
Phone (414) 535-6704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405001913 WI Practitioner - Occupational Therapist in Private Practice 4880992973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy at Home LLCGroup PAC ID 0244522217, 10 clinicians

Practice addresses (Care Compare)

7711 Freeland CT
Greendale, WI 53129-1658
Phone (414) 210-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4834-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy at Home LLC CurrentSince Aug 1, 2024 Accepting new patients
Comprehensive Podiatry Services CurrentSince Aug 1, 2024 Accepting new patients
Muslim Community and Health Center of Wisconsin Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

803 W Layton Ave
Milwaukee, WI 53221
Phone (414) 253-8330

307 W Layton Ave
Unit 2B
Milwaukee, WI 53207

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1407186653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 W. APPLETON AVE",
            "address_2": "BIRCHWOOD HEALTHCARE AND REHAB CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53225",
            "telephone_number": "414-535-6704",
            "fax_number": "414-535-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9632 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253305",
            "telephone_number": "414-535-6704",
            "fax_number": "414-535-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "TASHA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "O.T.R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4834-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.