Brittany Marty, OTR
Individual provider Active NPI Occupational Therapist · Arlington, WI
NPI 1437400124 · NPPES record last updated Jan 5, 2020
Key facts
- NPI
- 1437400124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5041-26 (WI)
- Practice address
- 151 Vega Dr
Arlington, WI 53911-9799 - Phone
- (608) 577-8593
- NPI assigned
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Wi LLC
Practice addresses (Care Compare)
2130 Continental Dr
West Bend, WI 53095-7904
Phone (262) 338-0092
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230207000414 | WI | Practitioner - Occupational Therapist in Private Practice | 6608248323 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13973 | CA | MD | Acupuncturist |
| 076640 | IA | MD | Occupational Therapist |
| 5041-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Wi LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 076640 | IA | |
| Occupational Therapist | 225X00000X | 13973 | CA | |
| Occupational Therapist | 225X00000X | 5041-26 | WI | Yes |
Addresses
Primary practice location
151 Vega Dr
Arlington, WI 53911-9799
Mailing address
151 Vega Dr
Arlington, WI 53911-9799
Phone (608) 577-8593
Other names
- Brittany Koenig
Other providers in Arlington, WI
All providers in Arlington, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.