Michelle A Markwardt, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4063-26 Issued in WI

Practice address

220 Scholl Court
Amery, WI 54001-1440

Phone

(715) 268-3653

Fax

(715) 268-8688

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Michelle A Gooder Other name

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1417017112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SCHOLL COURT",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011440",
            "telephone_number": "715-268-3653",
            "fax_number": "715-268-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SCHOLL COURT",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011440",
            "telephone_number": "715-268-3653",
            "fax_number": "715-268-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKWARDT",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4063026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4063-26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40880200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GOODER",
            "middle_name": "A",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joann Cecilia Keith Litkey, MD
• Jeffrey Coleman Lund
• Deborah F. Manni, O.T.
• Marks Dental Corporation, S.C. (River Place Dental)
• Heather Rose Marks, D.D.S
• Jennifer Martinson, RDH, BS
• Edward James Mauch, D.O.
• Danielle McIntosh, DPT
• Sabrina L. Meddaugh, FNP-C
• Brian Mehus, MD

• Occupational Therapist in Amery, WI
• Providers in Amery, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.