Active NPI
Rose Mary Visser, OTR
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1407227648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3647-26
- Practice address
- 912 N Hawley Rd
Milwaukee, WI 53213-3222 - Phone
- (414) 615-0115
- Fax
- (414) 256-8748
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 3647-26 | WI | Primary |
Addresses
Primary practice location
912 N Hawley Rd
Milwaukee, WI 53213-3222
Mailing address
912 N Hawley Rd
Milwaukee, WI 53213-3222
Phone (414) 615-0115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022002829 | WI | Practitioner - Occupational Therapist in Private Practice | 3375852833 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vision Forward Association Inc
Practice addresses (Care Compare)
10150 W National Ave
Suite 100
West Allis, WI 53227-2160
Phone 4146150100121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3647-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Forward Association, Inc. | Current | Accepting new patients |
Locations
912 N Hawley Rd
Milwaukee, WI 53213
Phone (414) 258-9200
10150 W National Ave
Ste 100
West Allis, WI 53227
Phone (414) 321-7520
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.
-
- Low Vision Rehabilitation Optometrist
- West Allis, WI
- NPI 1104913664
WI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1407227648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 N HAWLEY RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532133222",
"telephone_number": "414-615-0115",
"fax_number": "414-256-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 N HAWLEY RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532133222",
"telephone_number": "414-615-0115",
"fax_number": "414-256-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISSER",
"first_name": "ROSE",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3647-26",
"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 Oct 14, 2015; 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.