Tanya Rae Wiltzius, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2051-027 Issued in WI

Practice address

2300 Western Ave
Manitowoc, WI 54220-7253

Phone

(920) 320-4235

NPI assigned

Mar 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1417128786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 N.12TH STREET",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530831871",
            "telephone_number": "920-889-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542207253",
            "telephone_number": "920-320-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZIUS",
        "first_name": "TANYA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "2051-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41057700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Wilinski
• Joann Will
• Dean Allen Willhite, DC
• Jerry L Williams, P.T.
• Kimberly Williams, NP
• Michael J Wind, O.D.
• Gina Winkler, RDH
• Kim F Winkler, C.O.T.A.
• Jan Marie Wirth, BC-HIS
• Wisconsin CVS Pharmacy LLC

• Occupational Therapy Assistant in Manitowoc, WI
• Providers in Manitowoc, 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 Oct 22, 2014; 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.